University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at...
Transcript of University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at...
واالعتمادهيئة القومية لضمان جودة التعليم ال
University: Alexandria Faculty: Medicine
Program Specifications (Academic year: 2015/ 2016)
واالعتمادهيئة القومية لضمان جودة التعليم ال
A. Basic Information:
1. Program title: Master Degree of Internal Medicine
2. Department (s) offering the program; …Internal Medicine Department
3. Program Coordinator: Prof Dr.Mohamed Samy Gad.
4. External evaluator(s): Prof Dr Essmat Shiba (Prof of internal medicine in Cairo university)
5. Type of the program: Single
6. Date of most recent program specifications approval: 2015/2016 B. Professional Information: 1- Program Aims: 2- The aim of this program is to: graduate a competent skillful physician who can deal with
the common health problems in the community, adopt continuous medical education, and can be involved in research teams.
3- Acdemic reference standards (ARS)& ILOs: Academic reference standards of Master Degree in Internal Medicine designed and approved by Department of internal Medicine Faculty of Medicine. Alexandria University. Based on: Generic Academic Reference Standards (ARS): Postgraduate Medical Education, Egypt (2009). Published by National Authority for Quality Assurance and Accreditation of Education (NAQAAE) National [http://naqaae.org/main/php/book/index.php] Benchmarks (if any): guided by
1. Accreditation Council for Graduate Medical Education (ACGME) program requirements: www.acgme.org
2. Royal college of Physicians. http://www.rcpe.ac.uk/
Domain Core Competencies (by area)
ILOs
A. Knowledge and understanding
Graduate of this program must have good working knowledge of :
Basic facts and theories of different diseases of Internal Medicine.
Quality standards of practice in the field of Internal Medicine
By the end of the program the students will be able to:
A1- Describe the characteristics of different diseases in different internal medicine subspecialties.
A2- Identify the effect of different factors involved in the pathogenesis of different diseases of internal medicine.
A3- Discuss the etiology, pathogenesis and clinical presentation of the different diseases of internal medicine.
A4- Describe aging process and principles of geriatric medicine.
A5- Describe different types of diseases related to all body systems and ways of management at all age groups starting from adolescence.
A6- Identify the etiology, genetics, pathology and prognosis of the most common physical and mental diseases in the community.
واالعتمادهيئة القومية لضمان جودة التعليم ال
Main advances in the field of Internal Medicine and relevant update literature
Basics and ethics of scientific research, especially in what concerns disabled and elderly.
A7- Recognize the clinical spectrum of multi-systemic common medical conditions.
A8- Trace the clinical symptoms related to different body systems.
A9- Identify the common diagnostic and laboratory tests necessary to achieve the diagnosis of common diseases.
A10- Recognize the impacts of professional practice on the environment.
A11- Describe the different management protocols of diseases of internal medicine.
A12- Recall range of adverse drug reactions to commonly used drugs, including complementary medicine.
A13- Recall drugs requiring therapeutic drug monitoring and interpret results.
A14- Outline tools to promote patient safety and prescribing including IT system.
A15- Recognize the main recent advances in the diagnosis & management of different internal medicine diseases.
A16- Use Properly IT in order to be up to date as regard the science of internal medicine and its subspecialities.
A17- Recognize of the essential principals of scientific medical research.
A18- Mention the principles and fundamentals of ethics and legal aspects of scientific research in the field of internal medicine.
B. Intellectual skills Graduate must be skillful in:
Analyzing clinical findings to
derive appropriate differential
diagnosis
By the end of the program the students will be able to:
B1- Use the structural & functional characteristics of the different body systems to explain the different pathological problems.
واالعتمادهيئة القومية لضمان جودة التعليم ال
Interpreting the available
information to plan for a
comprehensive investigations
of the patient
Taking professional and therapeutic decision in a wide range of professional situations related to the specialty) based on best evidence
Conducting scientific research in a field related to the specialty.
B2-Analyze the clinical signs and symptoms of different internal medicine problems to reach a diagnosis /differential diagnosis.
B3- Select from different diagnostic alternatives to reach a final diagnosis.
B4- Analyze , interpret, and objectively evaluate the history data and physical signs in order to select the appropriate diagnostic procedures required.
B5- Plan the appropriate investigations for each patient to help reaching the diagnosis.
B6- Interpret radiodiagnostic films, blood gas, hematological and biochemical reports of the patient.
B7- Recognize the different risks of diagnostic procedures, and how to avoid or manage them.
B8- Solve some complex atypical problems.
B9- Use the analytical thinking skills in problem-solving and decision making skills for appropriate management of common conditions.
B10- Choose /compare between different treatment modalities based on best practice evidence and cost effectiveness.
B11- plan appropriate management lines for individual patients presenting with the most common medical disorders.
B12- Appraise critically current literature on different diseases of internal medicine.
B13- Apply principles of scientific research.
B14- Analyze reading of research and issues related to the internal medicine.
واالعتمادهيئة القومية لضمان جودة التعليم ال
C. Professional skills
Graduate must have the following skills:
Conduct all basic technical
procedures in the fields of
internal medicine.
Write comprehensive and
appraise different medical
report
Conduct some advanced technical procedures in the fields of internal medicine.
By the end of the program the students will be able to:
C1 -Interview patients/families about the particulars of the medical condition for which they seek care, with specific attention to behavioral, psychosocial, environmental, and family unit correlates of disease.
C2- Perform full clinical examination of different systems and organs related to internal medicine diseases.
C3- Diagnose and provide management to all common internal medicine diseases including acute episodic medical illness.
C4- Evaluate patients functionally
C5 - Write medical reports
C6 -Integrate patient’s symptomatology, historic data, abnormal physical signs and investigations into a comprehensive differential diagnosis in various body systems affection.
C7- Perform procedures such as pleural tap, paracentesis, lumbar puncture, and attendance of Intra-articular injections & arthrocentesis, Ultrasound and echo sessions,Endoscopy sessions, ERCP session, Hemodialysis
C 8 - Determine the indications, contraindications, and complications of various procedures listed.
D. General and transferrable skills
Graduate must acquire the following skills:
Use information technology to
improve his professional
practice and improve his
learning abilities and able to
manage time and resources
effectively.
By the end of the program the students will be able to:
D1- Retrieve information from all sources ( printed, electronic, communications etc…) at as minimum time as possible.
D2-Search effectively in med line data bases to find relevant articles related to the patient's conditions.
D3- Recognize the importance of being an independent self-learner and acquire the capability to search through medical data base .
D4-Verify the accuracy of scientific material on basis of best evidence in Medicine and in practice.
واالعتمادهيئة القومية لضمان جودة التعليم ال
Practice self appraisal and
determine his learning needs
Effective Communication skills
and leadership capabilities with
his colleagues and superiors,
different members of the
internal medicine subspecialties
members & patients of different
social levels
D.5. Assess himself and identify personal learning needs.
D6-Present scientific information to individuals and groups of different educational and social levels
D7- Work effectively within a team.
D8- communicates effectively with different members of the internal medicine subspecialties .
D9- Communicate effectively with patients and their families.
E. Attitudes and ethical behavior
Graduate must have the following:
Follow national code of ethics & respect patients rights
Deal with different team members in a professional and cooperative manner
By the end of the program the students will be able to:
E1-Follow national code of ethics & respect patients rights irrespective of diversity.
E2- Respect rights of disabled & elderly.
E3-Reacts to situations of grief with s ympathy
E4-Deal with different team members in a professional and cooperative manner
E5-Council patients & relatives or care givers with appreciation and understanding
واالعتمادهيئة القومية لضمان جودة التعليم ال
Program courses ILOs Matrix
ILOs Course title
a1 a2 a3 a4 a5 a6 a7 a8 a9 a 10
a 11
a 12
a 13
a 14
a 15
a 16
a 17
a 18
Medical Biochemistry for internal medicine
x x
Medical Physiology for internal medicine
x
Pathology for Internal Medicine
x
Clinical Pharmacology for Internal Medicine I
x x x
Clinical and Chemical Pathology for Internal Medicine I
x
Medical Microbiology for Internal Medicine
x x x
Imaging for Internal Medicine I
x x
Geriatrics x x x x x x x x
Hepatology x x x x x
Rheumatology and Immunology
x x x x x x x x x x x x x x x
Endocrinology x x x x x x x x
Nephrology x x x x x x x x x x x x x
Heamatology x x x x x x x
Gastro-Entrology (GIT) x x x x
Diabetes & Metabolism and lipidology
x x x x x x
Cardiovascular Diseases x x x x x x x
Chest Diseases x x x x
Neuro-Psychiatry for Internal Medicine
x x x x x x x
Tropical Medicine for Internal Medicine
x x x x x x x
ILOs Course title
b1 b2 b3 b4 b5 b6 b7 b8 b9 b10 b11 b12 b13 b14
Medical Biochemistry for internal medicine
x
Medical Physiology for internal medicine
x
Pathology for Internal Medicine I x
Clinical Pharmacology for Internal Medicine I
x x
Clinical and Chemical Pathology for Internal Medicine I
x x
Medical Microbiology for Internal Medicine
x x x
Imaging for Internal Medicine I x x x
Geriatrics x x x x x x
واالعتمادهيئة القومية لضمان جودة التعليم ال
Hepatology x x x x x x x x
Rheumatology and Immunology x x x x x x x x x x x
Endocrinology x x x x x x
Nephrology x x x x x
Heamatology x x x x x x x
Gastro-Entrology (GIT) x x x x x x
Diabetes & Metabolism and lipidology x x x x x x x x
Cardiovascular Diseases x x x x x x x
Chest Diseases x x
Neuro-Psychiatry for Internal Medicine x x x x x x x x
Tropical Medicine for Internal Medicine x x x
ILOs Course title
C1 C2 C3 C4 C5 C6 C7 C8
Medical Biochemistry for internal medicine
Medical Physiology for internal medicine I
Pathology for Internal MedicineI x
Clinical Pharmacology for Internal MedicineI
Clinical and Chemical Pathology for Internal MedicineI
Medical Microbiology for Internal Medicine
Imaging for Internal Medicine I x x
Geriatrics X x x x x
Hepatology x x x x x
Rheumatology and Immunology x x x x x x x x
Endocrinology x x x
Nephrology x x x x x x x x
Heamatology x x x
Gastro-Entrology (GIT) x x x x
Diabetes & Metabolism and Lipidology x x x x x
Cardiovascular Diseases x x x x x x x
Chest Diseases x x
Neuro-Psychiatry for Internal Medicine x x x
Tropical Medicine for Internal Medicine x
ILOs Course title
d1 d2 d3 d4 d5 d6 d7 d8 d9 e1 e2 e3 e4 e5
Medical Biochemistry for internal medicine
Medical Physiology for internal medicineI
Pathology for Internal MedicineI
Clinical Pharmacology for Internal MedicineI
Clinical and Chemical Pathology for
واالعتمادهيئة القومية لضمان جودة التعليم ال
Internal MedicineI
Medical Microbiology for Internal Medicine
Imaging for Internal MedicineI
Geriatrics x x x x x x x x x x
Hepatology x x x x x x x x x
Rheumatology and Immunology x x x x x x x x x x x x x
Endocrinology x x x x x x x x x
Nephrology x x x x x x x x x x x
Heamatology x x x x x x x
Gastro-Entrology (GIT) x x x x x x x
Diabetes & Metabolism and Lipidology x x x x x x x x x x
Cardiovascular Diseases x x x x x x x x x x x x x
Chest Diseases x x x x x x x
Neuro-Psychiatry for Internal Medicine x x x x
Tropical Medicine for Internal Medicine
4- Curriculum Structure:
-Program duration: This program is fulfilled in not less than two years with a maximum of seven years ((Fall and Spring semesters ± summer semester & thesis). -Program structure: Students should fulfill the following: 1- Basic of Research : 3 credit hours 2- Obligatory courses: 28 credit hours 3- 8 Credit Hours for thesis of Master degree. 4- One Elective Course : 1 credit hour
-Program Content:
A.
Code
Course
Credit Hours
Theoretical
Practical
1 05500801 Basic of Research 3
2 051608150 Medical Biochemistry for Internal
Medicine 1/2 1/2
3 052008150 Medical Physiology for Internal
Medicine I 1/2 1/2
4 052808150 Pathology for Internal MedicineI 1/2 1/2
5 050608150 Clinical Pharmacology for
Internal MedicineI 1/2 1/2 -
6 050508150 Clinical and Chemical Pathology
for Internal MedicineI 1/2 1/2 -
7 051808150 Medical Microbiology for Internal
Medicine 1/2 1/2
8 053108150 Imaging for Internal Medicine 1 1/2 1/2
9 05150801 Geriatrics 2 1 1
10 05150802 Hepatology 2 1 1
11 05150803 Rheumatology and Immunology 2.5 1.5 1
12 05150804 Endocrinology 2 1 1
13 05150805 Nephrology 2 1 1
14 051518150 Hematology 2 1 1
15 05150806 Gastro-entrology(GIT) 2 1 1
واالعتمادهيئة القومية لضمان جودة التعليم ال
16 05150807 Diabetes & Metabolism and
lipidology 2.5 1.5 1
17 050208150 Cardiovascular Diseases 2 1 1
18 050408150 Chest Diseases 2 1 1
19 052108150 Neuro-Psychiatry for internal
medicine 2 1 1
20 053308150 Tropical Medicine for internal
medicine 1 1/2 1/2
5- Program Admission Requirements: According to the regulations of the credit hour bylaws of the Faculty of Medicine Alexandria University (annex).
6- Regulations for Progression and Program Completion: According to the regulations of the credit hour by laws of the Faculty of Medicine Alexandria University (annex).Attendance is continuously monitored and kept to see whether students will meet the required percentage of attendance set by the University. A logbook will include all the requirements from the student. Any lecture as well as any practical session, assignment, or procedure training should be signature opposite by the lecturer or trainer. This logbook is a prerequisite to attend the exam.
Methods of student assessment:
Methods Intended Learning outcomes to be assessed
1. Written Exam a1-a6, a9–a13, b1-b11
2. Practical Exam a7- a8,b1 –b6, c1-c6,d9, e1-e5
4. Assignments a14-a16,b12-b14,d1-d4,
5. Thesis a17-a18, b12-b14,d1-d8
7- Methods of program evaluation:
Evaluator Tool Sample
1. Students enrolled in the program Questionnaires.
2. Alumni --------
3. Stakeholders (Employers) Focus group
4. External Evaluator (s) yes
5. Others:
Program Director: Prof Dr Yehia Ghanem Program Coordinator: …Prof Dr. Mohamed Samy Gad………………………..
واالعتمادهيئة القومية لضمان جودة التعليم ال
COURSE DESCRIPTION
1 Code Credit hours (1/2) Course Prerequisites
051608150 Lectures Clinical Medical Biochemistry for Internal Medicine
1 -
Carbohydrate Metabolism (2): Energy production, storage. Lipid Metabolism (2): Cholesterol & Lipoprotein, triglycerides & Ketone body metabolism. Protein Metabolism (General) (1): Vitamins (2), fat soluble vitamins, water soluble vitamins. Mode of Hormonal action (1). Iron & Calcium Metabolism (1). Molecular biology (5): Nucleotides & DNA & RNA, genome & DNA replication, transcription and protein synthesis, mutations, recombinant DNA technology & PCR.
2 Code Credit hours (1/2) Course Prerequisites
052008150 Lectures Clinical Medical Physiology for Internal MedicineI
1/2 -
Gastrointestinal secretions and absorptions. Ventilation-perfusion relationships. Blood coagulation and anticoagulants. Carbohydrate homeostasis. Physiology of hypothalamic-pituitary adrenal axis. Voluntary movement. Acid base balance. GFR, plasma clearance. Renal tubular functions. Arrhythmias. Cardiovascular regulatory mechanisms. Interstitial fluid formation and its disorders. Cardiac reserve and coronary circulation. Pain sensation and pain control.
3 Code Credit hours (1/2) Course Prerequisites
052808150 Lectures Clinical Pathology for Internal Medicine I
1/2 -
Inflammation, repair-- Ischemic heart diseases -- Valvular heart diseases-- Obstructive respiratory diseases -- Pulmonary infections -- Gastritis, peptic ulcer -- Inflammatory bowel diseases -- Hepatitis, liver tumors -- Thyroid, adrenal, diabetes -- Cerebrovascular disorders
4 Code Credit hours (1/2) Course Prerequisites
050608150 Lectures Clinical Clinical Pharmacology for Internal MedicineI
1/2 -
Rational use of drugs -- Antiviral drugs -- Autacoids.— Antihypertensives – chemotherapy -- Anti-asthmatics -- Anti-arrhythmics -- Coagulants and anticoagulants.-- Peptic ulcer, prokinetics, antiemetics, constipation and diarrhea
5 Code Credit hours (1/2) Course Prerequisites
050508150 Lectures Clinical Clinical and Chemical Pathology for Internal
MedicineI
1/2 -
Laboratory sampling. Laboratory approach to anemia (2 lectures). Laboratory approach to hematological malignancies. Laboratory approach to hemostasis (2 lectures). Basic immunological techniques and blood transfusion (2 lectures). Kidney functions. Liver functions. Hormonal assays and metabolic functions. Biological fluids analysis.
واالعتمادهيئة القومية لضمان جودة التعليم ال
6 Code Credit hours (½) Course Prerequisites
051808150 Lectures Clinical Medical Microbiology for Internal Medicine
½ -
Antimicrobial therapy. Sterilization, disinfection & antisepsis. Hospital infection control. Infection in immunocompromised host. Bacteremia, septicemia, endocarditis. Avian flu & immunization (1.5 hour).
7 Code Credit hours (1) Course Prerequisites
053108150 Lectures demonstration Imaging for Internal medicine
1/2 1/2
General knowledge of imaging procedures. Chest imaging. GIT imaging . Endocrinal imaging. Musculoskeletal imaging. Neuro imaging. Cardiovascular imaging. Genitourinary imaging
8 Code Credit hours (2) Course Prerequisites
05150801 Lectures Clinical Geriatrics
1 1
Effect of Ageing on body systems,and anti aging measures-lecture.--- Atypical presentations in the elderly.--- Common metabolic disorders in the elderly (diabetes, gout, pseudogout).--- Falls in the elderly --- Gastrointestinal motility in elderly.-- Dementia and Delirium in the elderly. --Psychiatric disorders in the elderly. -- Cerebrovascular disorders in the elderly.-- Urinary Incontinence. Thyroid diseases in the elderly. Prescribing for the elderly. Immunosenescence and susceptibility to infections.--- Nutrition and feeding problems in the elderly. At the end of the course there will be a clinical and written exam.
واالعتمادهيئة القومية لضمان جودة التعليم ال
9 Code Credit hours (2) Course Prerequisites
05150802 Lectures Clinical Hepatology
1 1
Hepatitis.--- Liver failure.--- Liver cirrhosis.--- Cholestatic liver diseases.--- Gall stones and cancer gallbladder.--- Acute pancreatitis.--- Liver transplantation.---Chronic Pancreatitis.--- Pancreatic tumors. --- Hepatic tumors.--- Portal hypertension.--- Variceal bleeding.--- Autoimmune liver diseases.--- Focal hepatic lesions.
Clinical rounds: 2 hours each: Cirrhosis. Ascites. Jaundice. Liver tumor. Pancreatic lesion. Variceal bleeding Activities: Journal Club. Ultrasound session. Endoscopy session. ERCP session. Hepatopancreatobiliary congresses ,and case presentations Clinical examination: (1 hour): Two cases presentation. Discussion.
10 Code Credit hours (2.5) Course Prerequisites
05150803 Lectures Clinical Rheumatology and Immunology
1.5 1
Laboratory investigations of rheumatic diseases. --- Clinical examination of rheumatic patient.--- Measurements of functional status and diseases activity in rheumatic diseases.--- Rheumatoid arthritis (pathophysiology, clinical picture).--- Management of rheumatoid arthritis.--- Systemic lupus erythematosus.--- Anti-phospholipid syndrome. --- Seronegative spondylopathies (Ankylosing Spondylitis) . Vasculitides, Behcet & sarcoidosis. --- Crystal induced arthritis. --- Systemic sclerosis and related disorders.--- Juvenile chronic arthritis. --- Inflammatory muscle diseases and Polymyalgia Rheumatica. --- Osteoporosis & osteoarthritis. Cells of immune system. HLA –system. Complement system. Hypersensitivity reactions. Autoimmunity. Immune complex diseases. Immune deficiency diseases. AIDS. Cytokines. Adhesion molecules. Immune-based therapies
Clinical Training: Normal articular examination. Clinical examination of a Rheumatoid Arthritis patient. Clinical examination of SLE patient. Clinical examination of an Ankylosing spondylitis patient. Clinical examination of a Systemic sclerosis patient. Dermatological manifestations of rheumatic diseases. Clinical examination of muscular diseases. Radiological training and evaluation of different rheumatic diseases. Intra-articular injections & arthrocentesis. Scientific activities (weekly meetings, case presentations, attending symposiums, conferences…) and self learning will include 5 meetings (4 hours each).
واالعتمادهيئة القومية لضمان جودة التعليم ال
11 Code Credit hours (2) Course Prerequisites
05150804 Lectures Clinical Endocrinology
1 1
Para-neoplastic Endocrine Syndrome - Multiple Endocrine Neoplasia -- Endocrine Autoimmunity -- Endocrinology and Systemic Disorders -- Endocrinology of Pregnancy -- Hypopituitarism.--- Acromegaly & Pituitary tumors.--- Growth disorders-- Cushing's syndrome -- Blood Pressure changes in Endocrine diseases-- Diseases of the Parathyroid glands-- Thyrotoxicosis and Hypothyroidism—Obesity-- Endocrine Emergencies
12 Code Credit hours (2) Course Prerequisites
05150805 Lectures Clinical Nephrology
1 1
Investigations of renal diseases, urinary tract.- Acid base balance, electrolyte disorders-- Renal syndromes, Acute Glomerulonephritis -- Primary glomerulopathy , nephrotic syndrome -- Tubulointerstitial diseases ,renal tubular disorders -- Acute kidney injury (AKI -- Chronic kidney disease (CKD) -- The kidney in systemic disease (part I) and part II -- Hypertension and the kidney. -- Renal replacement therapy
13 Code Credit hours (2) Course Prerequisites
051518150 Lectures Clinical Haematology
1 1
Hematopoiesis : the student should know the steps of erythropoiesis, enumerate the growth factors.--- Anemia: definition, morphologic classification, causes and clinical manifestation of each type of anemia.--- Polycythemia: definition, enumerate the causes and treatment.--- Leucocytes: enumerate the causes of leucocytosis and the causes of neutropenia and treatment of each type. ---Acute leukanemia and chronic leukemia: definition, clinical picture, the possible causes, classification of acute leukemia and treatment of each type.--- Myeloproliferative diseases: enumerate types and clinical picture of each, treatment of each type. Lymphoma: describe the different types of lymphoma and the clinical picture, clinical staging, treatment of each type and stage. --- Multiple myeloma: definition, clinical picture, treatment. --- Hemostasis: enumerate the causes, clinical picture, methods of diagnosis. --- Blood transfusion.
واالعتمادهيئة القومية لضمان جودة التعليم ال
14 Code Credit hours (2) Course Prerequisites
05150806 Lectures Clinical Gastro-Entrology (GIT)
1 1
Symptomatology of Gastrointestinal diseases. Diseases of the oesophagus. Diseases of the stomach. Malabsorption syndrome 1. Malabsorption syndrome 2. Motility disorders of the gastrointestinal tract. Inflammatory bowel diseases: 1 "Crohn's disease". Inflammatory bowel diseases: 2 "Ulcerative Colitis". Gastrointestinal neoplasms and polyps. Gastrointestinal bleeding (Upper). Gastrointestinal bleeding (Lower and obscure). Vascular disorders of the gut and diseases of peritoneum. Enteral and parenteral nutrition. Gastrointestinal procedures & imaging.
15 Code Credit hours (2.5) Course Prerequisites
05150807 Lectures Clinical Diabetes & Metabolism and Lipidology
1.5 1
Epidemiology, Diagnosis and classification of diabetes, Pathogenesis of diabetes. Overview of treatment standards in diabetes. Oral agents of treatment of type 2 diabetes. Insulin therapy. Cardiovascular risk reduction in diabetes. Micro vascular complications of diabetes. Peripheral vascular disease and diabetic foot. The Metabolic Syndrome. Gestational Diabetes. Ca Metabolism. Purine metabolism & Gout. Glycogen storage disease. Lysosomal storage disease. Case studies & Course overview.
Lipids in diet, Digestion of lipids (therapeutic implication), Absorption of lipids (therapeutic implication), Plasma lipids, Classification of disorders of lipid metabolism, Hyperlipoproteinemia, Classification of dyslipidemia, Familial syndromes of lipid disorders, Xanthomatosis. Atherogenesis, Risk factors of atherosclerosis, Therapy of dyslipdemic states & atherosclerosis (general measures), Pharmacological management of dyslipidemia.
Clinical Rounds: By the end of the course the graduate should be able to obtain patient history, perform correct physical examination, order appropriate investigations, and interpret results, completely diagnose and effectively treat dyslipidemia and assess risk factors for atherogenesis, master health education & preventive measures for these patients. Learning activities: The course includes Journal Club, Emergency attendance under supervision, Self learning, Clinical Ward rounds
واالعتمادهيئة القومية لضمان جودة التعليم ال
16 Code Credit hours (2) Course Prerequisites
050208150 Lectures Clinical Cardiovascular Diseases
1 1
Arrhythmia Infective endocarditis Hypertension Nuclear cardiology Hypotension and shock –Electrocardiography Cardiomyopathy and myocarditis Congenital heart dis. in adults Peicardial dis. Cor pulmonale -IHD,stable angina -IHD;Acute coronary syndromes Echocardiography Pacemakers Diseases of Aorta Rheumatic fever & vavular heart dis. Cardiac cath.&angio Heart failure
17 Code Credit hours (2) Course Prerequisites
050407150 Lectures Clinical Chest Diseases
1 1
Pulmonary function tests, interpretation and indication. Bronchial asthma, types, pathophysiology, treatment. Chronic obstructive lung diseases. Tuberculosis, types, clinical picture, management.. Bronchogenic carcinoma. Interpretation of different imaging techniques in chest disorders. Pulmonary Embolism
18 Code Credit hours (2) Course Prerequisites
052108150 Lectures Clinical Neuro-Psychiatry for Internal Medicine
1 1
Neurology: Neurovascular disorders (atherosclerosis and cerebrovascular strokes). CNS infections (leptominigitis, encephalitis, cavernous sinus thrombosis, slow virus infection in brief). Neurodegenerative disorders (senile dementia, Alzheimer, parkinsonism) and multiple sclerosis. Neurotrauma. CNS tumors (DD of a mass lesion in CT scan) Neuromuscular diseases. Epilepsy.Coma and syncope. Neurological manifestations of metabolic and toxic disorders, nutritional and collagenic disease. Neurological examination (paraparesis). Hemiparesis and facial weakness. Cervical and lumbar disc prolapse and spondylosis. Approach to a patient with polyneuropathy. Approach to a patient with headache. Psychiatry: Introduction (General). Psychopharmacology. Anxiety and depression. Organic brain disorders (Delirium). Personality disorders. Drug abuse. Delirium and Dementia. Somatoform Disorders.
واالعتمادهيئة القومية لضمان جودة التعليم ال
19 Code Credit hours (2) Course Prerequisites
053308150 Lectures Clinical Tropical Medicine
1 1
Schistosomiasis (1). Schistosomiasis (2). Eosinophilia & Fasciolaisis. Intestinal helminthes. Leshmaniasis. Malaria. Toxoplasmosis. Amoeba. Giardia. Enterica. Brucellosis. PUO. Heat disorders. HIV. Tropical Dysenteric Syndrome. Cholera. Food Poisoning. Rabies & tetanus. Filaria. Hydatid. Meningitis. Advice to travelers.
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Internal Medicine
Course Information
Course Code: 05150804 Course Name: Endocrinology
Program in which the Course is Given : Master Degree Internal Medicine
Number of Credit Hours 2 Theoretical Clinical/Practical
Course Aims
To allow the candidates to diagnose and treat patients with a variety of common endocrine
disorders involving the pituitary gland, thyroid gland, parathyroid glands, adrenal glands and
gonads, and to manage different endocrine emergencies.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
By the end of the program the
PG students will be able to:
A1- Describe the characteristics
of different diseases in different
internal medicine subspecialties.
A2- Identify the effect of
different factors involved in the
pathogenesis different diseases of
internal medicine.
By the end of the program the PG
students will be able to:
a1-Define the special characteristics of
endocrine diseases.
a2-State the functions of each endocrinal
gland and the characteristic features of its
disease.
a3- Point the effect of different factors
(neoplasm, infections, and autoimmunity)
involved in the pathogenesis different
endocrine disorders.
a4- Recognize the iatrogenic endocrinal
diseases specially iatrogenic thyroid
disorders, Cushing syndrome,
hyperprolactinemia.
1 1
A3- Discuss the etiology,
pathogenesis and clinical
presentation of the different
diseases of internal medicine.
A6- Identify the etiology,
genetics, pathology and
prognosis of the most common
physical and mental diseases in
the community.
A7- Appreciate the clinical
spectrum of multi-systemic
common medical conditions.
a5- List the etiology and outline the
pathogenesis and clinical presentation of
diseases of the pituitary gland, thyroid gland,
parathyroid glands, adrenal glands and
gonads.
a6- Tabulate the different manifestations of
para-neoplastic syndromes.
a7- Recognize the manifestations of multiple
endocrinal neoplasia.
a8-State the role of autoimmunity in the
pathogenesis of endocrinal diseases.
a9- Relate between pregnancy and the
different endocrinal diseases.
a10- Recognize the issue of obesity and its
complications.
a11- Distinguish the different growth
disorders.
a12- List the endocrinal causes of
hypertension.
a13-Recite the causes of different endocrinal
disorders.
a14-Point the genetic predisposition to
different endocrinal diseases like Turner's
and Kleinfilter syndromes.
a15-Describe the pathological changes
occurring in each of the endocrinal glands
with different diseases.
a16-Estimate the prognosis of every
endocrinal disorder.
a17- Review the systemic manifestations of
different endocrinal disorders.
a18-Tabulate the clinical manifestations of
endocrinal diseases according to the affected
system.
A9- Identify the common
diagnostic and laboratory tests
necessary to achieve the
diagnosis of common diseases.
A11- Describe the different
management protocols of
diseases of internal medicine.
A15- Recognize the main recent
advances in the diagnosis &
management of different internal
medicine diseases.
a19- Name the new and ultra-sensitive
hormonal assay tests necessary to achieve
the diagnosis of endocrinal diseases.
a20-Select the most appropriate test to the
matched disease.
a21- Review the management protocols
adopted for treatment of endocrinal diseases.
a22-Point to the special care in management
of pregnant and elder patients.
a23- State the new techniques of hormonal
assay and challenging tests.
a24-Identify the advanced imaging
techniques of endocrinal glands.
B. Intellectual
skills
By the end of the program the
PG students will be able to:
B1- Use the structural &
functional characteristics of the
different body systems to explain
the different pathological
problems.
B2- Analyze the clinical signs and
symptoms of different internal
medicine problems to reach a
diagnosis /differential diagnosis.
By the end of the program the PG
students will be able to:
b1- Illustrate the anatomy and histology of
the different endocrine glands and relate to
the different endocrinal diseases.
b2- Review the hormonal actions to explain
the manifestations of the different endocrinal
disorders.
b3- interpret the typical and atypical clinical
signs and symptoms of different endocrine
diseases.
b4- Construct a questionnaire to differentiate
between the different diseases of each
endocrinal gland.
B5- Plan the appropriate
investigations for each patient to
help reaching the diagnosis.
B8- Solve some complex atypical
problems.
B11- plan appropriate
management lines for individual
patients presenting with the most
common medical disorders.
B12- Critically appraise current
literature on diseases of internal
medicine.
b5- Design a plan of sequential and logic
investigations to reach the diagnosis.
b6- Select the fewer and appropriate
investigations for each patient to help
reaching the diagnosis in short time and with
less expenses.
b7 –Approach appropriately to some
complex problems not conforming to classic
cases especially in elderly people.
b8- Illustrate the diagnostic algorithms to
help the approach to atypical cases.
b9- Construct the lines of treatment for the
different common endocrinal disorders as
thyrotoxicosis, myxoedema, Cushing's
syndrome, endocrinal hypertension and
hyperprolactinemia.
b10- Recognize the indications of surgery
for certain endocrinal diseases and how to
perform a good preoperative preparation and
hormonal control.
b11- Revise the current literature on
endocrine diseases.
C.Professional
and Practical
Skills
By the end of the program the
PG students will be able to:
C2- Perform full clinical
examination of different systems
and organs related to internal
medicine diseases.
By the end of the program the PG
students will be able to:
c1- Examine the endocrinal patient-
clinically- in a systematized manner and at
the targeted time.
c2- Perform valid examination in more
challenging situations (e.g. critical care
setting,
unconscious patient, distracting
environment)
c3- Assess mood and cognitive function as
appropriate and apply this to interpretation
of history.
C3- Diagnose and provide
management to all common
internal medicine diseases.
C4- Evaluate patients functionally.
c4- Achieve proper diagnosis of most of the
endocrine diseases.
c5-Determine when a patient is not
responding to treatment, reassess the
situation, consult others and encourage
others to do so
c6-Score the clinical and laboratory
manifestations of the patient in order to
estimate the progress or regress of the
disease.
c 7- Assess the overall mental and
psychological state of the patient.
c8- Evaluate the functional status of the
patient
c9- Assess the degree of independency.
D. General
Skills
By the end of the program the
PG students will be able to:
D1- Retrieve information from all
sources (printed, electronic,
communications etc…).
D4-Verify the accuracy of
scientific material on basis of best
evidence in Medicine and in
practice,
D6-Present scientific information
to individuals and groups of
different educational and social
levels.
By the end of the program the PG
students will be able to:
d1- Extrapolate the information from
electronic sources.
d2-Cite the needed information from
textbooks in short time.
d3- Practice the research in evidence based
medicine to review the accuracy of scientific
material.
d4- Translate the scientific information to
the patients using simple words and easy
language.
D8- communicate effectively with
different members of the internal
medicine subspecialties members.
d5- Present information clearly to the
different members of endocrinology unit.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Para-neoplastic Endocrine Syndrome
Multiple Endocrine Neoplasia
Endocrine Autoimmunity
Endocrinology and Systemic Disorders
Endocrinology of Pregnancy
Hypopituitarism
Acromegaly & Pituitary tumors
Growth disorders
Cushing's syndrome
Blood Pressure changes in Endocrine
diseases
Diseases of the Parathyroid glands
Thyrotoxicosis and Hypothyroidism
Obesity
Endocrine Emergencies
Please check () the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 55%
Practical/Clinical Exam 30 %
Others Mid-Term 10% Activities 5%
List of Textbooks and References
Lecture Notes
Course Text Books
Davidson Textbook of Medicine
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor
Name: Aliaa El-Aghoury Signature:
Program Coordinator
Name: Mohamad Samy Gad Signature:
Program Director (Head of Department)
Name: Yehia Ghanem Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Internal Medicine
Course Information
Course Code: 05150802 Course Name: Hepatology
Program in which the Course is Given: Master Degree in Internal Medicine
Credit Hours : 2
Theoretical Practical
Course Aims: This course will allow the postgraduates students to deal efficiently with liver, gall
bladder and pancreatic diseases that are common in Egyptian community with their various strata.
Intended Learning Outcomes (ILOs)
Program ILO Course ILOs
A. Knowledge
and
Understanding
By the end of the program the
PG students will be able to:
A1- Describe the characteristics
of different diseases in different
internal medicine subspecialties.
A2- Identify the effect of different
factors involved in the
pathogenesis different diseases of
internal medicine.
A3- Discuss the Etiology,
Pathogenesis and clinical
presentation of the different
diseases of internal medicine
By the end of the program the PG
students will be able to:
a1-Outline the characteristic features of
hepatic diseases.
a2-List the common features of pancreatic
disorders.
a3- Name different factors (congenital
abnormalities, neoplasm, infections,
autoimmunity) involved in the
pathogenesis of different hepato biliary and
pancreatic diseases.
a4- State the effects of these factors on the
course of the disease.
a5- List the different causes of hepatic,
biliary and pancreatic diseases.
1 1
A4- Describe the management
protocols &/or procedures
adopted in management of
diseases of internal medicine
A15 Recognize the main recent
advances in the diagnosis &
management of different internal
medicine diseases.
a6- Recognize the common symptoms and
signs of hepatic, biliary and pancreatic
diseases.
a7- Describe the pathophysiologic basis of
liver diseases.
a8- Estimate the national burden of hepatic
diseases in Egypt.
a9- Explain the pathophysiology of gall
stones.
a10- Identify the pathophysiology of
pancreatitis.
a11- Differentiate between the different
causes of portal hypertension.
a12- Describe the clinical presentations and
differential diagnosis of common hepato
biliary and pancreatic diseases.
a13-Predict the complications of portal
hypertension.
a14-Describe the main mechanisms of
development of ascites and the different
tools of its management.
a15-Predict the risk factors of variceal
bleeding and describe its management.
a16- Discuss the lines of management of
common hepatic diseases according to the
adopted protocols (acute and chronic
hepatitis, ascites, variceal bleeding,
cholecystitis and pancreatitis as well as
hepato biliary and pancreatic neoplasm).
a17- Outline the management of hepato
biliary and pancreatic disorders in certain
populations as pregnant women.
a18- Identify the main recent advances in
the diagnosis & management of hepatitis
C and B and HCC and the indications of
liver transplantation.
a19- Discuss the recent advances in
diagnosis of medical emergencies such as
bleeding esophageal bleeding, refractory
ascites and hepatic encephalopathy and
their management including sclerotherapy
and band ligation.
B. Intellectual
skills
By the end of the program the
PG students will be able to:
B1- Use the structural &
functional characteristics of the
different body systems to explain
the different pathological
problems.
B2-Analyze the clinical signs
and symptoms of different
internal medicine problems to
reach a diagnosis /differential
diagnosis.
B4- Analyze, interpret, and
objectively evaluate the history
data and physical signs in order
to select the appropriate
diagnostic procedures required.
By the end of the program the PG
students will be able to:
b1-Illusterate the anatomy and histology of
the liver, gall bladder and pancreas
b2- Review the physiological functions of
the liver, gall bladder and pancreas.
b3- Relate the derangements in structure
and functions to the different pathological
changes of the liver, gall bladder and
pancreas.
b4 - Detect the symptoms & signs of liver
diseases.
b5 – Integrate the clinical symptoms and
signs to reach a final diagnosis and proper
decision making.
b6- Analyze the data available either
history data or physical signs in order to
determine the need for further diagnostic
tools to diagnose the hepato biliary and
pancreatic diseases.
b7- Select the most appropriate diagnostic
tool to reach a correct diagnosis of a
hepatic disease.
b8-Assess situations of the hepato biliary
and pancreatic diseases in which there is a
need to refer the patient to a hepatologist.
B6- Interpret radiodiagnostic
films, blood gas, hematological
and biochemical reports of the
patient.
B7- Recognize the different
risks of diagnostic procedures,
and how to avoid or manage
them.
B8- Solve some complex
atypical problems.
B9. Use the analytical thinking
skills in problem-solving and
decision making skills for
appropriate management of
common conditions.
B10- Choose /compare between
different treatment modalities
based on best practice evidence
and cost effectiveness.
b9- Select and interpret the proper
laboratory investigations for each case
especially the hepatic and pancreatic
function tests as well as the sero markers of
viral hepatitis.
b10- Outline the use of recent sensitive
liver profile assays to monitor patient
progress.
b11- Interpret radio-diagnostic films
including ultrasonographic and CT images.
b12-Predict the various risks and
complications of liver biopsy and ascitic
tapping, and illustrate how to avoid or
manage them.
b13-Construct a questionnaire to resolve
some complex problems and adhere to the
guide lines for diagnosis.
b14- Sketch the diagnostic algorithms to
help the approach to atypical cases.
b15- Analyze the patient data skillfully to
reach the right decision in certain difficult
situations like relapsed hepatitis c,
pregnancy induced liver disease and drug
induced liver disease.
b16- Plan and recommend appropriate
treatment for each case on an individual
base.
b17-Select from different treatment
modalities based on best practice evidence
and cost effectiveness especially for those
concerned with treatment of viral hepatitis
B and C as well as HCC.
b18 - Practice activities based on self-
learning.
C. Professional
and Practical
Skills
By the end of the program the
PG students will be able to:
C2- Perform full clinical
examination of different systems
and organs related to internal
medicine diseases.
C3- Diagnose and provide
management to all common
internal medicine diseases
including acute episodic medical
illness.
C6 -Integrate patient’s
symptomatology, historic data,
abnormal physical signs and
investigations into a
comprehensive differential
diagnosis in various body systems
affection.
C7- Perform procedures such as
pleural tap, paracentesis, lumbar
puncture, and attendance of Intra-
articular injections &
arthrocentesis, Ultrasound and
echo sessions, Endoscopy
sessions, ERCP session,
Hemodialysis.
By the end of the program the PG
students will be able to:
c1 -Practice complete and thorough clinical
examination of the hepatic patient.
c2- Assess mood and cognitive function as
appropriate and apply this to interpretation
of history.
c3- Examine the nervous system to assess
the neurological manifestations of hepatic
encephalopathy.
c4- Hold the diagnosis of most of the
hepato-biliary and pancreatic diseases.
c5-Judge the appropriate time to consult
others and encourage others to do so.
c6 -Score the clinical and laboratory
manifestations of the patient in order to
estimate the progress or regress of the
disease (Child- Pugh classification of liver
diseases).
c7- Assess and manage the common
hepato-biliary and pancreatic diseases
within internationally accepted standards of
time and competency.
c8- Analyze the patient’s symptoms and
signs and interpret his investigations to
construct a comprehensive differential
diagnosis of certain hepatic problems such
as accidental discovery of high
transaminases.
c9 - Assess the medical emergencies
clinically in the shortest time and decide
how to manage or refer to the appropriate
centre.
c10- Practice certain procedures such as
paracentesis.
C8 - Determine the indications,
contraindications, and
complications of various
procedures listed.
c11- Employ the ultrasonography and
various endoscopies in diagnosis of hepato-
biliary and pancreatic diseases
c12- List the indications and
contraindications of various procedures
especially liver biopsy.
c13- Predict and manage the complications
of these procedures.
D. General
Skills
By the end of the program the
PG students will be able to:
D1- Retrieve information from all
sources (printed, electronic,
communications etc…).
D4-Verify the accuracy of
scientific material on basis of best
evidence in Medicine and in
practice.
D8- communicates effectively
with different members of the
internal medicine subspecialties.
D9- Communicate effectively
with patients and their families.
By the end of the program the PG
students will be able to:
d1- Extrapolate the information from
electronic sources.
d2-Quote the needed information from
textbooks in short time.
d3- Employ the evidence based medicine in
verifying the accuracy of the scientific
information.
d4- Develop appropriate professional
attitudes.
d5 – Specify the various problems and
issues related to patients.
d6 – Translate information clearly to the
different members of other subspecialties.
d7 - Provide family support and health
education.
d8- Report the patient and his family about
the risks and prognosis of his liver or
pancreatic disease.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Hepatitis.
Autoimmune liver diseases.
Liver cirrhosis.
Portal hypertension. Endoscopy
sessions
Acute pancreatitis.
Chronic pancreatitis.
Hepatic tumors.
Pancreatic tumors.
Liver transplantation.
Focal hepatic lesions.
Gallstones & cancer gallbladder.
Acute liver failure.
Cholestatic liver diseases.
Variceal bleeding. Live
endoscopy
sessions
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
In the last week of the semester and at the same day of
attendance to the subspecialty unit the exam will be conducted.
Mid-term 0 %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 30 %
Others 0 %
List of Textbooks and References
Lecture Notes
Print-out of given lectures
Course Text Books
Davidson Textbook of Medicine
Suggested Extra Reading
Sheila Sherlock diseases of the liver & biliary
system.
Journals and Periodicals, others
Journal of Hepatology, JAMA
Course Instructor: Prof Dr/ Fathallah sedky Signature:
Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature:
Department Head: Prof Dr/ Yehia Ghanem Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Internal Medicine
Course Information
Course Code: 051608150 Course Name: Medical biochemistry for internal medicine
Program in which the Course is Given: Master Degree in Internal Medicine
Credit Hours : 1/2
Theoretical Practical
Course Aims: This course aims at introducing the students to the basic knowledge of metabolism of
different food staffs with special regards to the relation to metabolic changes of common diseases in the
society to help them to deal with common medical problems
Intended Learning Outcomes (ILOs)
Program ILO (refer to the
program)
Course ILOs
A. Knowledge and
Understanding
Graduate of this program must
have good working knowledge
of :
A2- Identify the effect of different
factors involved in the
pathogenesis different diseases of
internal medicine.
A6- Identify the etiology,
genetics, pathology and
prognosis of the most common
physical and mental diseases in
the community.
By the end of the program the PG
students will be able to:
a1-Discuss different types of oxidation of
glucose.
a2-Describe the synthetic pathways of
carbohydrates.
a3-Discuss metabolism of galactose and
fructose
a4-Explain regulation of carbohydrate
metabolism,
a5-Describe oxidation of fatty acids,
a6-Explain ketone body metabolism and
cholesterol metabolism.
a7-Explain general catabolism of amino
acids.
a8- State causes, manifestations and
principles for the treatment of metabolic
abnormalities related to amino acid and
diabetes mellitus
a9- Discuss functions and list the causes
and manifestations of deficiency of water
soluble and fat soluble vitamins.
1/2 -
a10- Explain the mechanism of action of
hormones.
a11- Describe replication, transcription and
protein synthesis.
a12- Discuss recombinant DNA
technology and PCR.
B. Intellectual skills
Graduate must be skillful in:
B1- Use the structural &
functional characteristics of the
different body systems to explain
the different pathological
problems.
By the end of the program the PG
students will be able to:
b1-Employ the regulatory mechanisms of
carbohydrate metabolism to explain the
pathogenesis of diabetes mellitus.
b2-Describe the sequences of fat
metabolism and its deviations from normal
to explain how hyperlipidemia develop.
b3-Associate the relevance of the different
signs and symptoms to the severity of
vitamin deficiencies.
D. Professional
and Practical
Skills
_____________________
___________________________________
E. General Skills
___________________________
________________________________
Course Content
(Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small group
discussion
Others
1 Carbohydrate Metabolism √
2 Energy production,
storage.
√
3 Cholesterol &
Lipoprotein metabolism
√ √
4 triglycerides & Ketone
body metabolism
√ √
5 Protein Metabolism √ √
6 fat soluble vitamins, √ √
7 water soluble vitamins. √ √
8 Mode of Hormonal action √ √
9 Iron & Calcium
Metabolism
√ √
10 Nucleotides & DNA &
RNA
√ √
11 genome & DNA
replication.
√ √
12 transcription and protein
synthesis
√ √
13 mutations √ √
14 recombinant DNA
technology & PCR.
√ √
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
In the last week of the semester and at the same day of
attendance to the subspecialty unit the exam will be conducted
Distribution of Marks
Written Exam :MCQs 100 %
Practical/Clinical Exam %
Others %
List of Textbooks and References
Lecture Notes
Print-out of given lectures
Course Text Books
Harper’s Medical Biochemistry
Suggested Extra Reading
Stryer’s Medical Biochemistry
Journals and Periodicals, others
Relevant journals.
Course Instructor: Pr. Mohammed Zeidan Signature:
Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature:
Department Head: Prof Dr/ Yehia Ghanem Signature:
√ √
√
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Internal Medicine
Course Information
Course Code: 050408150 Course Name: Chest for master internal medicine
Program in which the Course is Given: Master Degree in Internal Medicine
Credit Hours : 2
Theoretical Practical
Course Aims: To allow the candidates to diagnose and treat patients with a variety of common chest
disorders.
Intended Learning Outcomes (ILOs)
Program ILO Course ILOs
A. Knowledge and
Understanding
By the end of the program the
PG students will be able to:
A1- Describe the characteristics
of different diseases in different
internal medicine subspecialties.
A3- Discuss the etiology,
pathogenesis and clinical
presentation of the different
diseases of internal medicine.
By the end of the program the PG
students will be able to:
a1- Describe the characteristics of different
chest diseases.
a2- Identify the main differences between
the main chest diseases.
a3- Identify the main predisposing factors
and risk factors for the most common chest
diseases.
a4- Describe concisely the pathology and
the pathogenesis of the main chest diseases.
1 1
A11- Describe the different
management protocols of diseases
of internal medicine.
A15- Recognize the main recent
advances in the diagnosis &
management of different internal
medicine diseases.
a5- Discuss the clinical presentation of the
main chest diseases.
a6- Recognize the main ways of achieving
a proper diagnosis of chest diseases.
a7- Identify the proper way of treatment of
the main chest diseases encountered in the
community.
a8- Select the appropriate protocols for
management of different chest diseases.
a9- Describe the main recent advances in
diagnostic tools of chest diseases either
interventional, radiological or laboratory.
a10- Restate the main recent advances in
treatment of the main chest diseases.
B. Intellectual
skills
By the end of the program the
PG students will be able to:
B2-Analyze the clinical signs
and symptoms of different
internal medicine problems to
reach a diagnosis /differential
diagnosis.
B4- Analyze, interpret, and
objectively evaluate the history
data and physical signs in order
to select the appropriate
diagnostic procedures required.
By the end of the program the PG
students will be able to:
b1- Use the main signs and symptoms of
different chest diseases and their relevance.
b2- Analyze those signs and symptoms and
correlate them together to reach possibly a
diagnosis or a differential diagnosis of the
chest diseases.
b3- Appraise the relevance of the different
signs and symptoms to the severity of the
chest disease.
b4- Analyze the data available either
history data or physical signs in order to
decide whether there is a need for further
diagnostic tools to diagnose the chest
disease.
b5- Select the most appropriate diagnostic
tool in order to reach a final diagnosis of a
chest disease.
b6-Recognize the proper situations of the
chest diseases in which there is a need to
refer the patient to a chest specialist.
C. Professional
and Practical
Skills
By the end of the program the
PG students will be able to:
C1 interview patients/families
about the particulars of the
medical condition for which they
seek care, with specific attention
to behavioral, psychosocial,
environmental, and family unit
correlates of disease.
C2- Perform full clinical
examination of different systems
and organs related to internal
medicine diseases.
By the end of the program the PG
students will be able to:
c1- Construct a proper history from the
patient about his chest disease for which
the help was sought.
c 2- Assess the patient ‘s behavioral,
psychosocial and other environmental
conditions which could be related to his
chest disease.
c 3- Interview the patient family about the
patient chest disease.
c 4- Detect the general clinical signs and
recognize the findings related to the chest
diseases.
c 5- Examine the chest clinically so as to
find the physical signs which will help
reaching a diagnosis.
D. General
Skills
By the end of the program the
PG students will be able to:
D1- Retrieve information from all
sources (printed, electronic,
communications etc…) at as
minimum time as possible.
D6-Present scientific information
to individuals and groups of
different educational and social
levels
By the end of the program the PG
students will be able to:
d 1- Search on the internet for the most
recent advances to learn more about
different diseases pathology, clinical
presentation and diagnosis.
d 2- Locate the information needed as
easily as possible from textbooks.
d 3- Report the patient and his family about
the behavioral and environmental hazards
on the chest diseases.
d 4- Advise the patient and his family
effectively to stop smoking and explain to
them the hazards of smoking.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Bronchial Carcinoma
Chronic Obstructive Pulmonary
Disease
Pulmonary Function Tests
Pulmonary Embolism
Tuberculosis
Bronchial Asthma
Chest Imaging
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
In the last week of the semester and at the same day of
attendance to the subspecialty unit the exam will be conducted
Distribution of Marks
End of Term Final Exam 100 %
Written exam 70%
Practical exam 30%
List of Textbooks and References
Lecture Notes
Print-out of given lectures
Course Text Books
Murray and Nadel's Textbook of Respiratory
Medicine
Suggested Extra Reading
-
Journals and Periodicals, others
-
Course Instructor: Dr/ Heba Saied Signature:
Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature:
Department Head: Prof Dr/ Yehia Ghanem Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Internal Medicine
Course Information
Course Code: 050508150 Course Name: Clinical and Chemical Pathology for Internal
Medicine I
Program in which the Course is Given: Master Degree in Internal Medicine
Credit Hours : 1/2
Theoretical Practical
Course Aims:
To allow the postgraduate student to be able to request and interpret laboratory investigations of
common internal medicine diseases.
Intended Learning Outcomes (ILOs)
Program ILO Course ILOs
A. Knowledge
and
Understanding
By the end of the program
the students will be able to
A9- Identify the common
diagnostic and laboratory tests
necessary to achieve the
diagnosis of common diseases.
By the end of the program the PG
students will be able to:
a1- Recognize laboratory approach to
anemia
a2- Plan the appropriate investigations for
hematologic malignancies
a3- Identify the laboratory approch to
hemostasis.
a4- Describe the basic immunological
techniques
1/2 -
a5- Recognize liver function tests
a6- Recognize kidney function tests
a7- Outline the methods of hormonal assay
and metabolic functions
B. Intellectual
skills
Graduate must be skillful in:
B5- Plan the appropriate
investigations for each patient
to help reaching the diagnosis.
B6- Interpret radiodiagnostic
films, blood gas, hematological
and biochemical reports of the
patient.
By the end of the program the PG
students will be able to:
b1- Order the appropriate investigations for
each patient to help reaching the diagnosis.
b2- Construct an appropriate list of
laboratory investigations that achieve
accurate diagnosis at short time and with
less expenses.
b3- Interpret and correlate laboratory
findings with the patient's clinical picture,
to arrive at a correct diagnosis of
hematological diseases.
b4- Correlate the clinical picture and
biochemical laboratory findings.
b5- Interpret the metabolic and organ
function test results.
b6- Interpret the sequence of evolution of
immune responses in the course of active
infection and the convalescence phase after
infection.
C. Professional
and Practical
Skills
_____________________
_______________________________
D. General
Skills
_________________________
_______________________________
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Laboratory sampling √
Laboratory approach to anemia 1 √
Laboratory approach to anemia 2 √
Laboratory approach to hematological
malignancies
√
Laboratory approach to hemostasis 1 √
Laboratory approach to hemostasis 2 √
Basic immunological techniques and
blood transfusion 1
√
Basic immunological techniques and
blood transfusion 2
√
Kidney functions. √
Liver functions 1 √
Liver functions2 √
Hormonal assays and metabolic
functions.
√
Biological fluids analysis. √
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
In the last week of the semester and at the same day of
attendance to the subspecialty unit the exam will be conducted
Distribution of Marks
Written exam 100%
√
List of Textbooks and References
Lecture Notes
Print-out of given lectures
Course Text Books
Essential hematology
clinical biochemistry
Dacie in practical hematology
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor: Prof Dr/ Hadir Abbassy Signature:
Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature:
Department Head: Prof Dr/ Yehia Ghanem Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Internal Medicine
Course Information
Course Code: 05150806 Course Name: Gastro-Entrology
Program in which the Course is Given: Master Degree in Internal Medicine
Credit Hours : 2
Theoretical Practical
Course Aims: To allow the candidates to diagnose and treat patients with a variety of common
gastro-intestinal tract disorders.
Intended Learning Outcomes (ILOs)
Program ILO Course ILOs
A. Knowledge and
Understanding
By the end of the program the
PG students will be able to:
A1- Describe the characteristics
of different diseases in different
internal medicine subspecialties.
A3- Discuss the etiology,
pathogenesis and clinical
presentation of the different
diseases of internal medicine.
By the end of the program the PG
students will be able to:
a1- Point the special characteristics of
gastrointestinal diseases.
a2- Identify the main differences between
the main gastro-intestinal tract diseases.
a3- Recite the main predisposing factors
and risk factors for the most common
gastro-intestinal tract diseases.
a4- Describe concisely the pathology and
the pathogenesis of the common gastro-
intestinal tract diseases.
1 1
A11- Describe the different
management protocols of diseases
of internal medicine.
A15- Recognize the main recent
advances in the diagnosis &
management of different internal
medicine diseases.
a5- Differentiate the clinical presentations
of the common gastro-intestinal tract
diseases.
a6- Extrapolate the main ways of
achieving a proper diagnosis of gastro-
intestinal tract diseases.
a7- Identify the proper way of treatment of
the main gastro-intestinal tract diseases
encountered in the community.
a8- Describe the main recent advances in
diagnostic tools of gastro-intestinal tract
diseases either interventional, radiological
or laboratory.
a9- Point the main recent advances in
treatment of the common gastro-intestinal
tract diseases including the new
interventional techniques.
B. Intellectual
skills
By the end of the program the
PG students will be able to:
B2-Analyze the clinical signs
and symptoms of different
internal medicine problems to
reach a diagnosis /differential
diagnosis.
B4- Analyze, interpret, and
objectively evaluate the history
data and physical signs in order
to select the appropriate
diagnostic procedures required.
By the end of the program the PG
students will be able to:
b1- Detect the main signs and symptoms of
different gastro-intestinal tract diseases and
their relevance.
b2- Analyze those signs and symptoms and
correlate them together to reach possibly a
diagnosis or a differential diagnosis of the
gastro-intestinal tract diseases.
b3- Appraise the relevance of the different
signs and symptoms to the severity of the
gastro-intestinal tract disease.
b4- Collect the history data.
b5- Organize the physical signs in order to
decide whether there is a need for further
diagnostic tools to diagnose the gastro-
intestinal tract diseases.
B5- Plan the appropriate
investigations for each patient to
help reaching the diagnosis.
B6- Interpret radiodiagnostic
films, blood gas, hematological
and biochemical reports of the
patient.
B7- Recognize the different
risks of diagnostic procedures,
and how to avoid or manage
them.
B11- plan appropriate
management lines for individual
patients presenting with the
most common medical
disorders.
b6- Select the most appropriate diagnostic
tool in order to reach a final diagnosis of a
gastro-intestinal tract disease.
b7-Recognize the proper situations of the
gastro-intestinal tract diseases in which
there is a need to refer the patient to a
gastroenterologist.
b8- Interpret radiological signs the radio-
diagnostic films.
b9-Review the serological tests and
biochemical tests reports of the patient.
b10- Recite the different risks of
gastrointestinal endoscopies and ERCP
and how to avoid or manage them (as
regard patients and doctors).
b11- Follow the instructions of infection
control unit in sterilization of the
instruments specially the endoscopies.
b12- Select from different modalities of
treatment for individual patients
presenting with the most common gastro-
intestinal tract disorders.
b13- Prescribe the new drugs in the
proper doses for their specific indications
with orientation of the predicted side
effects.
C. Professional
and Practical
Skills
By the end of the program the
PG students will be able to:
C1- Interview patients/families
about the particulars of the
medical condition for which they
seek care, with specific attention
to behavioral, psychosocial,
environmental, and family unit
correlates of disease.
By the end of the program the PG
students will be able to:
c1- Construct a proper history taking from
the patient.
c 2- Interview the patient about his
behavioral, psychosocial and
environmental conditions which could be
related to his gastro-intestinal tract disease.
C2- Perform full clinical
examination of different systems
and organs related to internal
medicine diseases.
C7- Perform procedures such as
pleural tap, paracentesis, lumbar
puncture, and attend sessions of
Intra-articular injections &
arthrocentesis, Ultrasound and
echo sessions,Endoscopy
sessions, ERCP session,
Hemodialysis
C 8 - Determine the indications,
contraindications, and
complications of various
procedures listed.
c 3- Interview the patient family about the
patient gastro-intestinal tract disease.
c 4- Perform full clinical general
examination and recognize the findings
related to the gastro-intestinal tract
diseases.
c 5- Perform full clinical gastro-intestinal
tract examination so as to find the physical
signs which will help reaching a diagnosis.
c6- Perform procedures such as
paracentesis.
c7- Realize how gastro- intestinal
endoscopy and ERCP are performed.
c 8 - List the indications and
contraindications, of various procedures
listed.
c9- Predict the complications of the above
mentioned procedures and illustrate how to
avoid and treat them.
D. General Skills
By the end of the program the
PG students will be able to:
D1- Retrieve information from all
sources (printed, electronic,
communications etc…) at as
minimum time as possible.
D6-Present scientific information
to individuals and groups of
different educational and social
levels
By the end of the program the PG
students will be able to:
d 1- Search on the internet for the most
recent advances to learn more about
different diseases pathology, clinical
presentation and diagnosis.
d 2- Locate the information needed as
easily as possible from textbooks.
d 3- Inform the patient and his family about
the behavioral and environmental hazards
on the gastro-intestinal tract diseases.
d4- Practice the medical orientation of
patients in different opportunities.
Course Content (Units/Topics)
Teaching/Learning Methods
Lecture
s self learning
Practical/
Clinical
Small group
discussion
Other
s
Symptomatology of
Gastrointestinal diseases. √ √
Diseases of the esophagus. √ √
Diseases of the stomach. √ √
Malabsorption syndrome 1 √ √
Malabsorption syndrome 2 √ √
Motility disorders of the
gastrointestinal tract √ √
Inflammatory bowel diseases: 1
"Crohn's disease". √ √
Inflammatory bowel diseases: 2
"Ulcerative Colitis". √ √
Gastrointestinal neoplasms and
polyps. √ √
Gastrointestinal bleeding (Upper). √ √
Gastrointestinal bleeding (Lower
and obscure). √ √
Vascular disorders of the gut and
diseases of peritoneum. √ √
Enteral and parenteral nutrition. √ √
Gastrointestinal procedures &
imaging. √ √
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
In the last week of the semester and at the same day of
attendance to the subspecialty unit the exam will be conducted
Distribution of Marks
70% for the theoretical exam and 30% for the practical one.
√
√
List of Textbooks and References
Lecture Notes
Print-out of given lectures
Course Text Books
Cecil Text Book of Internal Medicine
Suggested Extra Reading
1. Current Diagnosis & Treatment
Gastroenterology Hepatology and
endoscopy ; Greenberger NG et al
2. Sleizenger & Fordatrin : Text Book of
Gastrointestinal Diseases
Journals and Periodicals, others
Gastroenterology, Gut, Clinical
Gastroenterology & Hepatology
Course Instructor: Prof Ezzat Ali Signature:
Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature:
Department Head: Prof Dr/ Yehia Ghanem Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Internal Medicine
Course Information
Course Code: 05150801 Course Name: Geriatrics
Program in which the Course is Given: Master Degree in Internal Medicine
Credit Hours : 2
Theoretical Practical
Course Aims
The goal of this course in is to provide educational experiences that prepare the trainee to be
competent internist able to provide comprehensive and coordinated care to elderly patients. In
addition, the trainee must become sufficiently familiar with chronic and complex disorders as well as
health and socioeconomic problems affecting the elders and influence their life.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
By the end of the program the
PG students will be able to:
A1- Describe the characteristics
of different diseases in different
internal medicine subspecialties.
A2- Identify the effect of
different factors involved in the
pathogenesis different diseases
of internal medicine.
By the end of the program the PG
students will be able to:
a1. Identify the effect of age on different
body systems.
a2- list the common anti aging measures.
a3. Discuss the effect of senescence in
alterations of the clinical presentation of
different diseases in elderly.
a4. Define the causes and risk factors of
common geriatric problems (urinary
incontinence, confusion, delirium, loss of
weight).
1 1
A3- Discuss the etiology,
pathogenesis and clinical
presentation of the different
diseases of internal medicine.
A4- Describe aging process and
principles of geriatric medicine.
A7- Appreciate the clinical
spectrum of multi-systemic
common medical conditions.
A8- Trace the clinical symptoms
related to different body systems.
A11- Describe the different
management protocols of diseases
of internal medicine.
A14- Outline tools to promote
patient safety and prescribing
including IT system.
a5- Point the environmental hazards of
geriatric problems such as fall and fracture.
a6- list the common causes of different
diseases according to their prevalence in
elderly.
a7. Describe the mechanisms by which
disease process evolve.
a8.Identify the age related structural
changes in different organs and systems
and their roles in development of the
common geriatric diseases.
a9. Describe the relation between the
disease processes and changes in the body
functions.
a10- Review the systemic manifestations of
senescence and senility.
a11-Tabulate the clinical manifestations of
age related problems according to the
affected system.
a12-.Describe the clinical manifestations
and natural history of common diseases in
the elderly (cerebrovascular, endocrinal,
gastrointestinal).
a13- Identify the atypical clinical picture of
most of the internal medicine diseases
when occur in elderly.
a14-. State the basic investigations used in
diagnosis of common geriatric problems
(osteoporosis, fall, nutritional disorders,
urinary incontinence).
a15.Define the treatment options for
common geriatric problems, recognizing
the different levels of interventions.
a16. Practice how to prescribe medications
to elders and what are its precautions.
a17- Use IT system properly to get the
needed information about specific drug
therapy for the different geriatric problems.
B. Intellectual
skills
By the end of the program the
PG students will be able to:
B1- Use the structural &
functional characteristics of the
different body systems to explain
the different pathological
problems.
B2-Analyze the clinical signs
and symptoms of different
internal medicine problems to
reach a diagnosis /differential
diagnosis.
B3- Select from different
diagnostic alternatives to reach a
final diagnosis.
B4- Analyze, interpret, and
objectively evaluate the history
data and physical signs in order
to select the appropriate
diagnostic procedures required.
By the end of the program the PG
students will be able to:
b1 b1. Describe the effect of senescence in
alterations of the clinical presentation of
different diseases in elderly.
b 2. Apply the basic biomedical science in
understanding disease mechanisms.
b3. Search for and prioritize information
relevant to common geriatric problems.
b 4. Analyze and interpret information
reaching a logic conclusion to solve
common geriatric problems.
b5. Interpret the patient's symptoms and
signs and apply proper clinical reasoning to
reach a diagnosis and differential diagnosis.
b6- Score certain geriatric diseases like
depression, heart failure and dementia.
b7- Construct a questionnaire to
differentiate between the different diseases
that have common symptoms.
b8- Interpolate the most probable diagnosis
from a wide range of differential diagnosis.
b9- Analyze the data available either
history data or physical signs in order to
determine the need for further diagnostic
tools.
b10- Select the most appropriate diagnostic
tool to reach a correct diagnosis of a
geriatric problem.
B9- Use the analytical thinking
skills in problem-solving and
decision making skills for
appropriate management of
common conditions.
B11- Plan appropriate
management lines for individual
patients presenting with the
most common medical
disorders.
b11-Recognize the special situation of the
internal medicine diseases when occur in
elderly.
b12- Analyze the patient data skillfully to
reach the right decision in certain difficult
situations.
b13- Plan and recommend appropriate
treatment for each case on an individual
base.
b14- Design the plan for medical,
psychological and for rehabilitation
management of common geriatric
problems.
b2 b15- Solve some geriatric problems
according to the available data.
b16. Initiate a plan of management of
critically ill patients.
b17. Realize the concept of uncertainty in
medical practice and deal with it using
evidence retrieved from updated medical
research.
b3 b18- appreciate the high incidence of drug-
drug interaction.
b4 b19- assess the compliance of the elders
and consider the functional and economic
barriers that interfere with their compliance.
b5 b20- Formulate search questions related to
patient's problems (Evidence Based
Medicine)
C. Professional
and Practical
Skills
By the end of the program the
PG students will be able to:
C1-Interview patients/families
about the particulars of the
medical condition for which they
seek care, with specific attention
to behavioral, psychosocial,
environmental, and family unit
correlates of disease.
C2- Perform full clinical
examination of different systems
and organs related to internal
medicine diseases.
C3- Diagnose and provide
management to all common
internal medicine diseases
including acute episodic medical
illness.
By the end of the program the PG
students will be able to:
c 1. Describe the steps of history taking and
its importance in collection of relevant
information from the patients and their
relatives.
c2- Obtain an accurate, patient centered
medical history that covers all aspects of
the patient's problems.
c3- Operate a full and systematized clinical
examination to get a complete and clear
view of the geriatric problem in concern.
c4- Identify the methods of clinical
examination to assess the physical and
mental state of the patients.
c5- Order baseline investigations that help
in diagnosis.
c6- Treat common acute geriatric problems
using proper drugs in proper doses.
c7- Diagnose and provide initial
management of common geriatric
emergencies eg. Cerebrovascular stroke,
myocardial infarction, pulmonary
embolism, acute abdomen and myxoedema
coma.
c8- Initiate the management of common
geriatric problems and follow their
treatment. e.g. Water and electrolytes
disturbance, infectious diseases, mental and
psychological problems, sleep disorders,
pain relief, fall, GIT problems and
constipation.
C4- Evaluate patients functionally
C6 -Integrate patient’s
symptomatology, historic data,
abnormal physical signs and
investigations into a
comprehensive differential
diagnosis in various body systems
affection.
c 9-Construct a plan of treatment of
common geriatric problems, with respect of
variation in body systems that necessitate
variation in doses.
c 10- Assess the overall mental and
psychological state of the patient.
c11- Evaluate the functional status of the
elderly patient and the degree of
independency.
c12- Assess and manage the common
geriatric problems within internationally
accepted standards of time and
competency.
c13- Analyze the patient’s symptoms and
signs and interpret his investigations to
construct a comprehensive differential
diagnosis of certain geriatric problems.
c14 - Assess the medical emergencies
clinically in the shortest time and decide
how to manage or refer to the appropriate
centre.
D. General Skills
By the end of the program the
PG students will be able to:
D1- Retrieve information from all
sources (printed, electronic,
communications etc…) at as
minimum time as possible.
D6-Present scientific information
to individuals and groups of
different educational and social
levels.
By the end of the program the PG
students will be able to:
d1- Extrapolate the information from
electronic sources.
d2-Quote the needed information from
textbooks in short time.
d 3- Inform the patient and his family about
the behavioral and environmental hazards
on the elderly.
d4- Practice the medical orientation of
patients in different opportunities.
d7- Work effectively within a
team.
d8- Communicates effectively
with different members of the
internal medicine subspecialties.
d9- Communicate effectively with
patients and their families.
d5- Manage the working team and respect
the inter-disciplancy nature of geriatric
team.
d6- lead and cooperate with the different
members of medical team.
d7- Present information clearly to the
different members of the internal medicine
subspecialties.
d8- Show willingness to be patient and
communicate effectively with the patients
and their families.
d9- Translate the scientific information to
the patients using simple words and easy
language.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small group
discussion Others
Effect of Ageing on body
systems, and anti aging
measures-lecture.
Atypical presentations in the elderly
Common metabolic disorders in
the elderly (diabetes, gout,
pseudo gout).
Falls in the elderly
Gastrointestinal motility in
elderly.
Dementia and Delirium in the
elderly.
Psychiatric disorders in the
elderly.
Cerebrovascular disorders in the
elderly
Urinary Incontinence.
Thyroid diseases in the elderly
Prescribing for the elderly.
Immunosenescence and
susceptibility to infections.
Nutrition and feeding problems
in the elderly.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
In the last week of the semester and at the same day of
attendance to the subspecialty unit the exam will be conducted
Distribution of Marks
70% for the theoretical exam and 30% for the practical one.
√ √
√ √
√
List of Textbooks and References
Lecture Notes
Print-out of given lectures
Course Text Books
THE MERCK MANUAL OF GERIATRICS
Latest Edition
Suggested Extra Reading
Journals and Periodicals, others
www.medscape .com
Course Instructor: Prof Dr Suzan abo raya Signature:
Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature:
Department Head: Prof Dr/ Yehia Ghanem Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: internal medicine
Course Information
Course Code: 051518150 Course Name: Hematology
Program in which the Course is Given: Master Degree in Internal Medicine
Number of Credit Hours2 Theoretical Clinical/Practical
Course Aims
This program is designed to provide candidates with the basic knowledge and skills that
allow them to:
1.1. Diagnose and manage successfully common diseases of blood and bone marrow.
Intended Learning Outcomes (ILOs)
Program ILO(refer to program
matrix)
Course ILOs
A. Knowledge
and
Understanding
By the end of the program the
students will be able to:
A1- Describe the characteristics
of different diseases in different
internal medicine subspecialties.
By the end of the course the PG students
will be able to:
a1- Identify the characteristics of
hematopoisis and their disorders.
a2-Describe the characteristics of
haemostasis and their disorders.
1 1
A3- Discuss the etiology,
pathogenesis and clinical
presentation of the different
diseases of internal medicine.
A9- Identify the common
diagnostic and laboratory tests
necessary to achieve the diagnosis
of common diseases.
A11- Describe the different
management protocols of diseases
of internal medicine.
A12- Recall range of adverse drug
reactions to commonly used drugs,
including complementary
medicine.
A13- Recall drugs requiring
therapeutic drug monitoring and
interpret results.
a3- Outline the pathogenesis of different
haematological disorders (environmental,
genetic and drug induced)
a4- Discuss the clinical presentations and
differential diagnosis of different benign and
malignant disorders.
a5- List the common diagnostic and
laboratory tests used to diagnose different
haematological disorders .
a6- Name the new and ultra-sensitive tests
necessary to achieve the diagnosis .
a7- Select the most appropriate test to the
matched disease.
a8- identify Basic facts regarding the drugs
used in the field of haematology, as well as
blood and blood products .
a9- Describe the different algorithms and
guidelines in managing malignant blood
disorders (acute and chronic leukaemias,
lymphomas and myelomas)
a10- Recognize a range of adverse drug
reactions to commonly used
chemotherapeutic drugs.
a11- Illustrate how to minimize these adverse
drug reactions.
a12- Identify drugs requiring therapeutic
drug monitoring specially hormonal and
chemotherapeutic agents.
A15- Recognize the main recent
advances in the diagnosis &
management of different internal
medicine diseases.
a13- Outline local procedures as monitoring
anticoagulant drugs and common side
effects of cancer chemotherapy.
a14- Outline the use of recent sensitive PET
scan to monitor patient’s with lymphoma
a15- Identify Main scientific advances in the
diagnosis and management of haematological
diseases including anaemia, coagulation
disturbance and haematological
malignancies.
a16- Outline the management of blood
disorders in certain populations as during
pregnancy and elderly.
B. Intellectual
skills
By the end of the program the
students will be able to:
B1- Use the structural &
functional characteristics of the
different body systems to explain
the different pathological
problems.
B2-Analyze the clinical signs and
symptoms of different internal
medicine problems to reach a
diagnosis /differential diagnosis.
By the end of the course the PG students
will be able to:
b1- Describe the structure of the bone
marrow, lymph node and spleen to explain
the different pathological problems of blood
diseases.
b2- Review the physiological features of the
bone marrow, lymph node and spleen to
explain the different pathological problems
of blood diseases.
b3- use the clinical signs and symptoms of
haematological problems to reach a correct
diagnosis in the shortest time.
b4-Interpret the clinical signs and symptoms
in an organized algorithm to apply a fruitful
differential diagnosis.
B5- Plan the appropriate
investigations for each patient to
help reaching the diagnosis.
B6- Interpret radiodiagnostic
films, blood gas, hematological
and biochemical reports of the
patient.
B8- Solve some complex
atypical problems.
B10- Choose /compare between
different treatment modalities
based on best practice evidence
and cost effectiveness.
B11- Plan appropriate
management lines for individual
patients presenting with the most
common medical disorders.
b5- Select the appropriate investigations (
CBC, bone marrow aspiration, coagulation
parameters, imaging) to reach a diagnosis.
b6- Design a plan of sequential and logic
investigations to reach the diagnosis.
b7- Interpret, analyze & evaluate the
laboratory informations to establish
diagnosis and appropriate treatment planning.
b8- Read the radio diagnostic films properly.
b9- Solve some haematological problems
according to the available data.
b10- write scientific systematic approach to a
anaemia
b11- Sketch the diagnostic algorithms to
help the approach to atypical cases.
b12- Use evidence based medicine to select
the best treatment modality to the matched
hematological disease.
b13- Evaluate risks imposed to patient or
managing team during chemotherapy use
and during blood transfusion.
b14- Construct the steps of appropriate
management on an individual base.
b15- Use the new drugs cautiously and after
consultation of other professional team
member.
C.Professional
and Practical
Skills
By the end of the program the
students will be able to:
C1- Interview patients/families
about the particulars of the
medical condition for which they
seek care, with specific attention
to behavioral, psychosocial,
environmental, and family unit
correlates of disease.
C2- Perform full clinical
examination of different systems
and organs related to internal
medicine diseases.
C3- Diagnose and provide
management to all common
internal medicine diseases
including acute episodic medical
illness.
By the end of the course the PG students
will be able to:
c1- Construct a proper history taking from
the patient.
c 2- Interview the patient about his
behavioral, psychosocial and environmental
conditions which could be related to his
hematological disease.
c 3- Interview the patient family about the
patient hematological disease.
c4- Perform full clinical general examination
and recognize the findings related to blood
diseases.
c5- Perform full clinical systemic
examination and recognize the findings
related to blood diseases.
c6- Hold the diagnosis of most of the blood
diseases.
c7-Judge the appropriate time to consult
others and encourage others to do so.
c8 -Score the clinical and laboratory
manifestations of the patient in order to
carry on appropriate staging of certain
diseases like leukemia and lymphomas
c9- use appropriately the antibiotic regimens
for treatment and prophylaxis in immune-
suppressed patient.
c10- Manage the complications of blood
transfusion.
c11-Monitor anticoagulation.
D. General
Skills
By the end of the program the
students will be able to:
D1- Retrieve information from all
sources (printed, electronic,
communications etc…) at as
minimum time as possible.
D4-Verify the accuracy of
scientific material on basis of best
evidence in Medicine and in
practice.
D6-Present scientific information
to individuals and groups of
different educational and social
levels
D7- Work effectively within a
team.
D8- communicates effectively
with different members of the
internal medicine subspecialties.
D9- Communicate effectively with
patients and their families.
By the end of the course the students will
be able to:
d1- Search on the internet for the most
recent advances to learn more about
different diseases pathology, clinical
presentation and diagnosis.
d 2- Locate the information needed as easily
as possible from textbooks.
d3-Insure the accuracy of scientific material
on evidence based medicine .
d4- Inform the patient and his family about
the risks and prognosis of his blood disease.
d5- Lead the medical (Inpatient and
outpatient) team.
d6- exchange the different opinions with
different members of the team and select the
most adherent one to the guide lines.
d7-Present information clearly to the
different members of the internal medicine
subspecialties.
d8- Advise the patients and their families to
avoid the risk factors that led to
development of the disease such as smoking.
d9-Translate the scientific information to the
patients using simple words and easy
language.
d10- Practice the medical orientation of
patients in different opportunities.
Course Content(Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Haematopoiesis
Anaemias
Haemostasis
Leucocyticdisisorders
Acute and chronic leukaemias
Myeloproliferative disorders
Polycythaemia
Multiple myeloma
Lymphomas
Blood transfusion
Please check () the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 30 %
Others %
List of Textbooks and References
Lecture Notes available
Course Text Books Oxford handbook of clinical haematology
Suggested Extra Reading Postgraduate haematology
Journals and Periodicals, others Blood- Haematologica
Course Instructor: Prof Dr/ Nahla Abdelmoneim Hamed Signature:
Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature:
Department Head: Prof Dr/ Yehia Ghanem Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Internal Medicine
Course Information
Course Code: 051808150 Course Name: Medical Microbiology for internal medicine
Program in which the Course is Given: Master Degree in Internal Medicine
Credit Hours : 1/2
Theoretical Practical
Course Aims
-Recognizing the main factors and preventive measures concerning hospital infection .
-Grasping the proper evaluation and application of sterilization and disinfection procedures.
-Understanding of the importance of properly designed and tailored antimicrobial policies .
-Selection of the proper microbiological investigation for the studied disease categories,
-Evaluation of the growing body of infections in the nowadays increasing number of immuno-
compromised patients
-Knowledge of the threats of global influenza pandemics with analysis of the situation in Egypt
Intended Learning Outcomes (ILOs)
Program ILO (refer to the
program)
Course ILOs
A. Knowledge and
Understanding
By the end of the program the
PG students will be able to:
A 2 -Identify the effect of
different factors involved in the
pathogenesis different diseases
of internal medicine
A3- Discuss the etiology,
pathogenesis and clinical
presentation of the different
diseases of internal medicine.
By the end of the program the PG
students will be able to:
a1- Identify the categories and causal
factors and organisms of hospital
acquired infection
a2- Discuss the definition of
sterilization and disinfection procedures
and their available methods.
a3- Recall the definitions and causative
pathogens in blood stream infection
according to the case
a4- Recognize the main pathogens
imposing infection risks to the
1/2
A11- Describe the different
management protocols of
diseases of internal medicine.
immuno-compromised patients.
a5- Describe the structure, pathogenesis
and distribution of the different virus
types causing influenza in humans.
a6- Describe the main groups of
antimicrobial drugs , their mechanism
of action ,and the ways for
development of drug resistance.
B. Intellectual
skills
By the end of the program the
PG student will be able to:
B3 - Select from different
diagnostic alternatives to reach
a final diagnosis.
B5-Plan the appropriate
investigations for each patient
to help reaching the diagnosis.
B7-Recognize the different risks
of diagnostic procedures, and
how to avoid or manage them.
By the end of the program the PG
student will be able to:
b1- Evaluate the main approaches and
policies for the control of hospital
infection
b2- Choose the suitable method of
sterilization or disinfection appropriate
to the situation.
b3- Compare the diagnostic methods
applied in suspected cases of
septicemia and bacteremia.
b4- Value the proper selection of
antimicrobial drug according to the
chosen policy in treatment of different
pathogens
b5- Apprehend the laboratory
guidelines for diagnosis of infection in
the immuno-compromised, with
analysis of infection preventive
measures.
b6- Compare infection by different
types of influenza in Egypt and the
main approaches for their treatment and
prevention.
C. Professional
and Practical
Skills
______________
_______________
D. General Skills
_______________
________________
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small group
discussion
Other
s
1 Antimicrobial therapy. √
2 Sterilization, disinfection &
antisepsis
√
3 Hospital infection control. √
4 Infection in
immunocompromised host
√
5 Bacteremia, septicemia,
endocarditis.
√
6 Avian flu & immunization √
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
In the last week of the semester and at the same day of
attendance to the subspecialty unit the exam will be conducted
Distribution of Marks
Written Exam :MCQs 100 %
Practical/Clinical Exam %
Others %
√
List of Textbooks and References
Lecture Notes
Print-out of given lectures
Course Text Books
Microbiology in clinical practice
Suggested Extra Reading
Related periodicals
Journals and Periodicals, others
Course Instructor: Prof Dr/ Malak AboKhatwa Signature:
Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature:
Department Head: Prof Dr/ Yehia Ghanem Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Internal Medicine
Course Information
Course Code 05150805 Course Name: nephrology
Program in which the Course is Given: Master Degree in Internal Medicine
Credit Hours : 2 hours
Theoretical Practical
Course Aims :
Realize the importance of common renal diseases and the impact of renal failure acute and chronic on
the individual and community performance and realize the epidemiology of common real disorders all
over the world.
Provide students with essential Knowledge and skills to diagnose and manage common renal disease
including realization of importance of early referral to specialist when needed. Provide students with
appropriate knowledge and skills regarding renal replacement therapy. These will be done through
lectures, clinical rounds , self-learning including case studies tutorial small group discussions,
scientific meetings, practical classes, journal clubs.
Intended Learning Outcomes (ILOs)
Program ILO Course ILOs
A. Knowledge and
Understanding
By the end of the program the
PG students will be able to:
A1- Describe the characteristics of
different diseases in different
internal medicine subspecialties.
By the end of the program the PG
students will be able to:
a1- Define the characteristics of
glomerulo-nephropathies.
a2- Describe the characteristics of
tubulo-interstitial diseases.
a3- Discuss the characteristics of chronic
kidney disease.
One one
A2- Identify the effect of different
factors involved in the
pathogenesis different diseases of
internal medicine.
A3- Discuss the etiology,
pathogenesis and clinical
presentation of the different
diseases of internal medicine.
A5- Describe different types of
diseases related to all body
systems and ways of
management at all age groups
starting from adolescence.
A6- Identify the etiology,
genetics, pathology and prognosis
of the most common physical and
mental diseases in the community.
a4- Distinguish the criteria of obstructive
uropathy.
a5- Recognize the factors involved in the
pathogenesis glomerulopathies :
immunologic, genetic, hemodynamic,
environmental, iatrogenic (drugs and
medications).
a6- Trace the factors that accelerate
deterioration of renal functions in chronic
kidney diseases
a7- List the etiology of different renal
diseases.
a8- Describe concisely the pathology and
the pathogenesis of the main renal
diseases.
a9- Discuss the clinical presentation of
the different renal diseases and
syndromes together with electrolyte,
acid base disorders..
a10- Review the renal manifestations of
different systemic diseases
a11- Explain the effects of the kidney
and urinary tract diseases on different
body systems .
a12- Identify the genetic predisposition
to the most common renal diseases
(hypertension, diabetes,
tubulointerstitial, glomerulonephritis)
and renal syndromes( AKI,CKD) in the
community.
a13-Describe the pathology of different
types of glomerulopathies including the
electron microscopic pictures.
A7- Appreciate the clinical
spectrum of multi-systemic
common medical conditions.
A8- Trace the clinical symptoms
related to different body systems.
A10- Appreciate the impacts of
professional practice on the
environment.
A11- Describe the different
management protocols of diseases
of internal medicine.
A15- Recognize the main recent
advances in the diagnosis &
management of different internal
medicine diseases.
a14- Predict the prognosis of different
renal diseases.
a15- Recognize the clinical
manifestations of multi-systemic
common medical conditions affecting
kidney as hypertension, diabetes,
collagenic and vasculitic diseases.
a16- Describe the water and electrolyte
homeostasis and their disorders as well
as their effects on different body organs.
a17- Discuss common acid base disorders
and their manifestations on different body
systems.
a18- State the cardiovascular, pulmonary
and gastrointestinal symptoms related to
different kidney diseases.
a19- List the neurological,
musculoskeletal ,endocrinal and
metabolic symptoms due kidney diseases.
A20- Define the different hazards and
effects of different dialysis techniques on
the patients and medical team .
a21- identify the hazards of dialysis on
the environment.
a22- Recognize the updated management
protocols of important renal diseases and
syndromes.
a23- Review the different techniques of
renal replacement therapies.
A16- Proper use of IT in order to
be up to date as regard the science
of internal medicine and its
subspecialties.
A17- Recognize of the essential
principals of scientific medical
research.
A18- Mention the principles and
fundamentals of ethics and legal
aspects of scientific research in the
field of internal medicine.
a24- Trace the main recent advances in
the diagnosis & management of different
renal diseases ,syndromes (AKI,
CKD<GN)
a25- Recognize renal replacement
therapies (principles, indications,
complications).
a26-Discuss immunology of kidney
transplantation.
a27- Use the network research in the
proper way and right time to update his
knowledge about different renal
problems and renal replacement
therapies.
a28- Define the principals of scientific
medical research specially in critical
patients such those with renal diseases or
on renal replacement therapy.
a29- Define the ethical and legal aspects
of scientific research and practicing of
nephrology and renal replacement
therapy.
B. Intellectual
skills
By the end of the program the
PG students will be able to:
B1- Use the structural &
functional characteristics of the
different body systems to explain
the different pathological
problems.
By the end of the program the PG
students will be able to:
b1-Illusterate the anatomy and histology
of the kidney and urinary tract.
b2- Review the physiological functions of
the kidney and urinary tract.
B2-Analyze the clinical signs and
symptoms of different internal
medicine problems to reach a
diagnosis /differential diagnosis.
B3- Select from different
diagnostic alternatives to reach a
final diagnosis.
B4- Analyze , interpret, and
objectively evaluate the history
data and physical signs in order to
select the appropriate diagnostic
procedures required.
B6- Interpret radiodiagnostic
films, blood gas, hematological
and biochemical reports of the
patient.
b3- Relate the derangements in structure
and functions to the different pathological
changes of the kidney..
b4 - Detect the symptoms & signs of
kidney diseases.
b5 – Integrate the clinical symptoms and
signs to reach a final diagnosis and proper
decision making.
b6- analyze and interpret information
reaching a logic conclusion to grasp the
final diagnosis.
b7- Analyze the data available either
history data or physical signs in order to
determine the need for further diagnostic
tools to diagnose the renal diseases.
b8- Select the most appropriate diagnostic
tool to reach a correct diagnosis of a renal
disease.
b9-Recognize the proper situations of the
renal diseases in which there is a need to
refer the patient to a nephrologist.
b10- Select and interpret the proper
laboratory investigations for each case .
b11- Outline the use of recent sensitive
renal profile assays to monitor patient
progress.
b12- Interpret radio-diagnostic films
including ultrasonographic and CT
images.
C. Professional
and Practical
Skills
By the end of the program the
PG students will be able to:
C1- Interview patients/families
about the particulars of the medical
condition for which they seek care,
with specific attention to
behavioral, psychosocial,
environmental, and family unit
correlates of disease.
C2- Perform full clinical
examination of different systems
and organs related to internal
medicine diseases.
C3- Diagnose and provide
management to all common internal
medicine diseases including acute
episodic medical illness.
C4- Evaluate patients functionally
By the end of the program the PG
students will be able to:
c1- Construct a proper history from the
patient about his renal disease for which
the help was sought.
c 2- Interview the patient about his
behavioral, psychosocial and
environmental conditions which could be
related to his renal disease.
c 3- Interview the patient family about the
patient renal disease.
c4- Perform full clinical examination of
different systems and organs (general and
local) for patients with different renal
syndromes putting in mind that renal
condition could affect any system of the
body..
c5- Diagnose , stabilize and refer patients
with AKI.
c6- Diagnose and treat simple acid base
and, electrolyte disorder
c7- Diagnose and refer patients with renal
disease that need specific management by
nephrology specialist.
c 8- Assess the overall mental and
psychological state of the patient.
c9- Evaluate the functional status of the
elderly patient
c10- Assess the degree of independency.
C5 - Write medical reports
C6 -Integrate patient’s
symptomatology, historic data,
abnormal physical signs and
investigations into a comprehensive
differential diagnosis in various
body systems affection.
C7- Perform procedures such as
pleural tap, paracentesis, lumbar
puncture, and attendance of Intra-
articular injections &
arthrocentesis, Ultrasound and echo
sessions,Endoscopy sessions,
ERCP session, Hemodialysis
C8 - Determine the indications,
contraindications, and
complications of various
procedures listed.
c11 – Write full clear and comprehensive
medical reports to a renal patients to help
the authorities determining his technical
and financial support needs.
c12 –Analyze the patient’s symptoms and
historic data,
c13- Integrate the abnormal physical signs
and investigations
c14- Construct a proper differential
diagnosis
c15- Realize the different hemodialysis
and peritoneal dialysis modalities
c 16 – List the indications and
contraindications of hemodialysis and
peritoneal dialysis ,other modalities of
treatment like hemofiltration,
plasmapheresis., transplantation.
c17- Predict and manage the
complications of hemodialysis and
peritoneal dialysis ,
D. General Skills
By the end of the program the
PG students will be able to:
D1- Retrieve information from all
sources ( printed, electronic,
communications etc…) at as
minimum time as possible.
By the end of the program the PG
students will be able to:
d1- Extrapolate the information from
electronic sources.
d2-Quote the needed information from
textbooks in short time.
D3- Recognize the importance of
being an independent self-learner
and acquire the capability to search
through medical data base .
D4-Verify the accuracy of scientific
material on basis of best evidence
in Medicine and in practice.
D7- Work effectively within a
team.
D8- communicates effectively with
different members of the internal
medicine subspecialties .
D9- Communicate effectively with
patients and their families.
d3- Adopt the principles of lifelong
learning.
d4- Employ the evidence based medicine
in verifying the accuracy of the scientific
information.
d5- Develop appropriate professional
attitudes.
d6 – Specify the various problems and
issues related to patients.
d7- Lead the team work in the ward or in
dialysis units.
d8- Appraise the team work and
encourage others to join.
d9- present information clearly to the
different members of nephrology unit.
d10- Communicate effectively using
verbal and non verbal methods with
people at various levels of education,
intelligence, social and cultural strata.
d11- Utilize effective methods of written
communication to transfer ideas and
information in official and non official
settings.
d12- Present information to others
according to their educational level
utilizing verbal and available audiovisual
tools.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Investigations of renal diseases, urinary
tract. √
Acid base balance, electrolyte disorders √
Renal syndromes, Acute
Glomerulonephritis √ √ √
Primary glomerulopathy , nephrotic
syndrome. √ √ √
Tubulointerstitial diseases ,renal tubular
disorders √ √
Acute kidney injury (AKI) √ √ √
Chronic kidney disease (CKD) √ √ √
The kidney in systemic disease (part I)
and part II √ √ √
Hypertension and the kidney. √ √
Renal replacement therapy √ √
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
In the last week of the semester and at the same day of
attendance to the subspecialty unit the exam will be conducted.
Distribution of Marks
Essay 25%,MCQ 45%, One clinical case 15%, OSCE/OSPE
15%
√ √
√ √
√
List of Textbooks and References
Lecture Notes or
Print-out of given lectures
Course Text Books
Current nephrology, Kumar, Clark textbook of clinical Medicine (renal
disease, water electrolyte, acid base chapters). Macleod clinical
examination.
Suggested Extra
Reading
Related to weekly scientific meeting ,case studies given during Semester.
Journals and
Periodicals, others
Course Instructor: Prof Dr Yasser Neanae Signature:
Program Coordinator: Prof Dr/ Mohamed Samy Gad signature:
Department Head: Prof Dr/ Yehia Ghanem Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Internal Medicine
Course Information
Course Code: 052108150 Course Name: Neuro-Psychiatry for Internal Medicine
Program in which the Course is Given: Master Degree in Internal Medicine
Credit Hours : 2
Theoretical Practical
Course Aims: To allow the candidates to diagnose and treat patients with a variety of common
neuro-psychiatric disorders.
Intended Learning Outcomes (ILOs)
Program ILO Course ILOs
A. Knowledge and
Understanding
By the end of the program the
PG students will be able to:
A1- Describe the characteristics
of different diseases in different
internal medicine subspecialties.
A2- Identify the effect of
different factors involved in the
pathogenesis of different
diseases of internal medicine.
A3- Discuss the etiology,
pathogenesis and clinical
presentation of the different
diseases of internal medicine.
By the end of the program the PG
students will be able to:
a1- Define the characteristics of different
neurological diseases.
a2- List the characteristics of different
psychiatric diseases.
a3- Trace the different factors involved in
the pathogenesis of different neurological
diseases (immune mediated, vascular,
degenerative and infectious)
a4- Name the different factors involved in
the pathogenesis of different psychiatric
diseases (hereditary and environmental)
a5- List the etiology, describe the
pathogenesis and trace the clinical
presentation of the common neurological
diseases such as stroke, epilepsy, muscle
diseases, peripheral neuropathy,
paraplegia, headache and cranial pains.
1 1
A6- Identify the etiology,
genetics, pathology and
prognosis of the most common
physical and mental diseases in
the community.
A9- Identify the common
diagnostic and laboratory tests
necessary to achieve the diagnosis
of common diseases.
A11- Describe the different
management protocols of diseases
of internal medicine.
A15- Recognize the main recent
advances in the diagnosis &
management of different internal
medicine diseases.
a6- List the etiology, describe the
pathogenesis and trace the clinical
presentation of the common psychiatric
diseases such as somatoform disorders,
anxiety, delirium, dementia and mood
disorders.
a7- Identify the genetic predisposition to
the most common neuro-psychiatric
diseases in the community.
a8-Describe the pathology of different
types of neuro-psychiatric diseases
a9- Predict the prognosis of different
neuro-psychiatric diseases .
a10- List the common laboratory tests
necessary to achieve the diagnosis of
common neurological diseases.
a11-Name some commonly used diagnostic
tools such as different imaging modalities ,
electrophysiological study, electro-
encephalogram and sleep lab.
a12- Identify the proper way of treatment
of the main neurological diseases
encountered in the community such as
cerebro-vascular stroke and epilepsy,
a13- Select the appropriate line of
treatment from the different management
protocols of diseases such as
cerebrovascular stroke , epilepsy .
a14- Trace the main recent advances in the
diagnosis of different neuro-psychiatric
diseases.
a15- Trace the main recent advances in the
management of different neuro-psychiatric
diseases.
B. Intellectual
skills
By the end of the program the
PG students will be able to:
B1- Use the structural &
functional characteristics of the
different body systems to explain
the different pathological
problems.
B2-Analyze the clinical signs
and symptoms of different
internal medicine problems to
reach a diagnosis /differential
diagnosis.
B4- Analyze , interpret, and
objectively evaluate the history
data and physical signs in order
to select the appropriate
diagnostic procedures required.
B5- Plan the appropriate
investigations for each patient to
help reaching the diagnosis.
By the end of the program the PG
students will be able to:
b1-Illusterate the anatomy and histology of
the nervous system.
b2- Review the physiological functions of
the different parts of the nervous system.
b3- Relate the derangements in structure
and functions to the different pathological
changes of the nervous system.
b4- Interpret the clinical data for
appropriate clinical reasoning and decision
in difficult neurological situations.
b5-apply the knowledge learned to
perform differential diagnosis related to
these diseases.
b6- Interpret the history data.
b7- Trace the physical signs.
b8- Integrate the history data and the
physical signs to extrapolate the proper
diagnosis.
b9- Select the proper imaging technique.
b10- Order the most appropriate
laboratory tests
B6- Interpret radiodiagnostic
films, blood gas, hematological
and biochemical reports of the
patient.
B8- Solve some complex
atypical problems.
B10- Choose /compare between
different treatment modalities
based on best practice evidence
and cost effectiveness.
B11- plan appropriate
management lines for individual
patients presenting with the
most common medical
disorders.
b11- Define the positive radiological signs
b12- Correlate the hematological and
biochemical results of the patient with his
radiological findings.
b13- Recognize some complex atypical
problems of neuro-psychiatric disorders
and try to solve them.
b14- Select the best treatment modalities
based on best practice evidence and cost
effectiveness.
b15-Prescribe the neuro-psychiatric drugs
in the recommended doses .
b16- Construct the appropriate
management plan with respect of the
individual variations.
b17- Follow up the patient closely.
C. Professional
and Practical
Skills
By the end of the program the
PG students will be able to:
C1- Interview patients/families
about the particulars of the
medical condition for which they
seek care, with specific attention
to behavioral, psychosocial,
environmental, and family unit
correlates of disease.
By the end of the program the PG
students will be able to:
c1- Construct a proper history from the
patient about his disease for which the help
was sought.
c 2- Interview the patient about his
behavioral, psychosocial and
environmental conditions which could be
related to his disease.
c 3- Interview the patient family about the
patient disease.
C2- Perform full clinical
examination of different systems
and organs related to internal
medicine diseases.
C3- Diagnose and provide
management to all common
internal medicine diseases
including acute episodic medical
illness.
c4- Conduct thorough clinical examination
of the nervous system as well as the heart,
chest and abdomen.
a5- Diagnose , stabilize and refer patients
with acute neurological emeregencies.
c6- Diagnose and treat simple
uncomplicated neurologic diseases.
c7- Diagnose and refer patient with neuro-
psychiatric disease that need specific
management by a neuro-psychiatrist
D. General Skills
By the end of the program the
PG students will be able to:
D1- Retrieve information from all
sources ( printed, electronic,
communications etc…).
D3- Recognize the importance of
being an independent self-learner
and acquire the capability to
search through medical data base .
D4- Lead the medical (Inpatient
and outpatient) team
D5- communicate effectively with
different members of the team
By the end of the program the PG
students will be able to:
d1. Use different sources of information to
collect and analyze the data.
d2 - Adopt the principles of lifelong
learning.
d3. Interact with students, junior staff and
colleague within this issue
d4-manage time effectively
d5- work as team leader in situations
comparable to his work level
d6- Present information to others
according to their educational level
utilizing verbal and available audiovisual
tools
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small group
discussion Others
Neurovascular disorders
(atherosclerosis and cerebrovascular
strokes).
√ √ √
CNS infections (leptominigitis,
encephalitis, cavernous sinus
thrombosis, slow virus infection in
brief).
√
Neurodegenerative disorders (senile
dementia, Alzheimer, parkinsonism)
and multiple sclerosis.
√
Neurotrauma. CNS tumors (DD of a
mass lesion in CT scan) √
Neuromuscular diseases. √
Epilepsy √
.Coma and syncope. √
Neurological manifestations of
metabolic and toxic disorders,
nutritional and collagenic disease.
√
Neurological examination
(paraparesis). Hemiparesis and facial
weakness.
√ √
Cervical and lumbar disc prolapse
and spondylosis. √
Approach to a patient with
polyneuropathy. √ √
Approach to a patient with headache.
√ √
Psychiatry:
Introduction (General). √
Psychopharmacology. √
Anxiety and depression. √ √ √
Organic brain disorders (Delirium). √
Personality disorders. √ √ √
Drug abuse. √
Delirium and Dementia √ √ √
. Somatoform Disorders. √
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
In the last week of the semester and at the same day of
attendance to the subspecialty unit the exam will be conducted
Distribution of Marks
70% theoretical exam
30% clinical exam,
List of Textbooks and References
Lecture Notes
Print-out of given lectures
Course Text Books
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor: Prof Dr/ Aymen Eissa Signature
Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature
Department Head: Prof Dr/ Yehia Ghanem Signature
√
√
√
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Internal Medicine
Course Information
Course Code: 052808150 Course Name: Pathology for internal medicine I
Program in which the Course is Given: Master Degree in Internal Medicine
Credit Hours : 1/2
Theoretical Practical
Course Aims
1-to apply the basic pathophysiologic concepts in predicting disease manifestations and sequelae
2-to use an approach to interpret the histological and gross changes in different disease processes to
distinguish inflammatory, vascular, degenerative, congenital and neoplastic conditions from each
other
Intended Learning Outcomes (ILOs)
Program ILO Course ILOs
A. Knowledge
and
Understandi
ng
By the end of the program the
students will be able to:
A6- Identify the etiology,
genetics, pathology and
prognosis of the most common
physical and mental diseases in
the community.
By the end of the program the PG
students will be able to:
a1-know the standardized terminology to
describe human pathology and disease
processes
a2-identify the basic knowledge of
inflammatory reaction
a3-describe the morphologic patterns , the
fate and complications of of acute
inflammation.
1/2
a4-identify the effect of different factors
involved in wound healing
a5-discuss the incidence, the etiology, the
pathogenesis and complications of
ischemic heart diseases
a6- describe the different forms of
endocarditis and the pathogenesis of each
a7-identify the patho-physiology of heart
failure and its clinical effects on different
body organs
a8-discuss the pathology of pulmonary
infections and the different types of
pneumonia
a9-describe the pathogenesis of obstructive
pulmonary diseases and the complications
of each
a10 discuss the pathology of gastritis
a11-discuss the pathology of peptic ulcer
disease and its complications
a12-know the pathologic basis of
inflammatory bowel diseases
a11-describe the types of hepatitis ,their
fate and liver cirrhosis
a12-describe the different forms of primary
liver tumors and the pathology of each
a13-discuss the pathology of thyroid
diseases
a14- discuss the pathology of diabetes
mellitus and its systemic complications
a15-discuss the pathology of adrenal cortex
diseases and adrenal medulla
a16-identify the pathology of
cerebrovascular diseases
a17-identify the common diagnostic tools
required in the diagnosis of difficult cases
a18-recognize the recent advanced research
results regarding the pathogenesis of
different pathological disorders of the heart
and the GIT
a19-discuss the role of multidisciplinary
team in discussion and management of
cases
B. Intellectual
skills
By the end of the program the
students will be able to:
B1- Use the structural &
functional characteristics of the
different body systems to explain
the different pathological
problems.
By the end of the program the PG
students will be able to:
b1-correlate between the pathological
changes of inflammation and the clinical
signs.
b2-analyse the different factors that impede
wound healing.
b3-classsify the different risk factors of
atherosclerosis and how to modify them
b4-correlate between the pathological
changes in ischemic heart disease and the
laboratory findings.
b5-interpret the different complications of
ischemic heart disease and their
pathological correlation.
b6-classify the different forms of
obstructive pulmomnary diseases and their
possible complications.
b7- analyze the sources of pulmonary
infections and their possible modes of
management.
b8-classify the different forms of hepatitis
and their management.
b9-classify the different forms of primary
liver tumors and their pathogenesis.
b10-recognize the risk factors for gastritis
and peptic ulcer.
b11-recognize the immunopathologic basis
of inflammatory bowel diseases.
b12-compare between the etiological
factors causing hepatitis regarding their
epidemiology and modes of infection.
b13-recognize the different forms of
cerebrovascular disorders.
b14-Recognize the different endocrinal
disorders of thyroid, adrenal and systemic
manifestation of diabetes.
C. Professional
and
Practical
Skills
By the end of the program the
students will be able to:
C7- Perform procedures such as
pleural tap, paracentesis, lumbar
puncture, and attendance of Intra-
articular injections &
arthrocentesis, Ultrasound and
echo sessions, Endoscopy
sessions, ERCP session,
Hemodialysis
By the end of the program the PG
students will be able to:
c1-diagnose gross specimens of different
body organs with inflammation
c2-evaluate photos and gross specimens of
hearts with ischemic changes and valvular
disease.
c3-evaluate gross specimens of obstructive
pulmonary diseases like bronchiectasis.
c4-evaluate gross specimens of pulmonary
infections and pneumonias.
c5-evaluate photos for different forms of
hepatitis and liver tumors.
c6-evaluate gross specimens and photos of
thyroid diseases.
c7-analyse a panel of special stains and
immunohistochemical stains to choose
which is beneficial in th diagnosis of
particular case.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Inflammation, repair + + +
Ischemic heart diseases + + +
Valvular heart diseases + +
Obstructive respiratory diseases + + +
Pulmonary infections +
Gastritis, peptic ulcer +
Inflammatory bowel diseases + +
Hepatitis, liver tumors + + +
Thyroid, adrenal, diabetes +
Cerebrovascular disorders +
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
In the last week of the semester and at the same day of
attendance to the subspecialty unit the exam will be conducted
Distribution of Marks
Written Exam :MCQs 100 %
Practical/Clinical Exam %
Others %
D. General
Skills
By the end of the program the
PG students will be able to
____________________
By the end of the program the PG
students will be able to:
____________________
+ +
List of Textbooks and References
Lecture Notes
Print-out of given lectures, lecture notes
prepared by the pathology department
Course Text Books
Robins pathologic basis of diseases 8 th edition
Suggested Extra Reading
Concise pathology
Journals and Periodicals, others
Course Instructor: prof dr Omayma el sakka Signature
Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature
Department Head: Prof. Dr Yehia Ghanem Signature
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Internal Medicine
Course Information
Course Code: 050608150 Course Name: Clinical Pharmacology for Internal Medicine I
Program in which the Course is Given: Master Degree in Internal Medicine
Credit Hours : 1/2
Theoretical Practical
Course Aims
Intended Learning Outcomes (ILOs)
Program ILO Course ILOs
A. Knowledge and
Understanding
By the end of the program the
students will be able to:
A11- Describe the different
management protocols of diseases
of internal medicine.
By the end of the program the PG
students will be able to:
a1- Describe the different management
protocols of hypertension.
a2- Define the different management
protocols of asthma.
a3- List the different management protocols
of arrhythmia.
a4- Discuss the different management
protocols of peptic ulcer, constipation and
diarrhea
a5- Describe the different management
protocols of heart failure.
a6-Identify the different management
protocols of diabetes mellitus.
a7- Describe the different management
protocols of epilepsy.
1/2 -
A12- Recall range of adverse drug
reactions to commonly used
drugs, including complementary
medicine.
A13- Recall drugs requiring
therapeutic drug monitoring and
interpret results.
a8- List a range of adverse drug reactions
to corticosteroids, analgesics, immuno-
suppressives , anticoagulants ..etc
a9- Recognize the drugs that require
therapeutic drug monitoring and interpret
results like anticoagulants, digoxin,
cyclosporin.
B. Intellectual
skills
B10- Choose /compare between
different treatment modalities
based on best practice evidence
and cost effectiveness.
B11- plan appropriate
management lines for individual
patients presenting with the
most common medical
disorders.
By the end of the program the PG
students will be able to:
b1- Select the best modalities of
treatment based on evidence based
medicine.
b2- prescribe the appropriate drugs to the
highly selected patient presenting with
arrhythmias, constipation, diarrhea,
peptic ulcer, heart failure, thyroid
disorders, diabetes mellitus,hypertension,
epilepsy,and asthma.
b3- respect the individual variations as
regard drug efficacy and drug reactions or
side effects.
C. Professional
and Practical
Skills
____________________
________________
D. General Skills
_________________________
_________________
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small group
discussion Others
Rational use of drugs √
Antiviral drugs. √
Autacoids. √
Antihypertensives. √
chemotherapy √
Anti-asthmatics √
Anti-arrhythmics √
Coagulants and anticoagulants. √
Peptic ulcer, prokinetics,
antiemetics, constipation and
diarrhea
√
Drugs and the thyroid √
Heart failure √
Oral anti-diabetic drugs and
insulin √
Immunosuppressives. √
Sedatives.and hypnotics √
Anti-convulsants anti-epileptics √
Analgesics √
corticosteroids √
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
In the last week of the semester and at the same day of
attendance to the subspecialty unit the exam will be conducted
Distribution of Marks
Written Exam :MCQs 100 %
Practical/Clinical Exam %
Others %
√
√
List of Textbooks and References
Lecture Notes
Print-out of given lectures
Course Text Books
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor: Prof Dr/ Tarek Abd alazeem Signature
Program Coordinator: Prof Dr/ Mohamed Samy Gad signature
Department Head: Prof Dr/ Yehia Ghanem Signature
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Internal Medicine
Course Information
Course Code: 052008150 Course Name: Medical Physiology for Internal Medicine I
Program in which the Course is Given: Master Degree in Internal Medicine
Credit Hours : 1/2
Theoretical Practical
Course Aims : to give the postgraduate student a résumé of medical physiology that help him
understanding the physiological derangements that produce the clinical picture of internal medicine
diseases .
Intended Learning Outcomes (ILOs)
Program ILO Course ILOs
A. Knowledge and
Understanding
By the end of the program the
students will be able to:
A2- Identify the effect of
different factors involved in the
pathogenesis different diseases
of internal medicine.
By the end of the program the PG
students must:
a1- Discuss and explain the basic facts ,
theories, of the physiology of the different
body systems in order to understand their
alterations with diseases.
a2- Identify the main scientific advances in
the field of practice
a3- Integrate physiologically the
information about different body systems
in health, stress and disease.
1/2 --
B. Intellectual
skills
By the end of the program the
students will be able to:
B1- Use the structural &
functional characteristics of the
different body systems to explain
the different pathological
problems.
By the end of the program the PG
students will be able to:
b1- Explain, analyze, and evaluate
physiological alteration in different
conditions.
b2- Gather and interpret essential and
accurate information about the physiology
of the different body systems
C. Professional
and Practical
Skills
___________________
_____________________________
D. General Skills
________________
____________________________
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Gastrointestinal secretions and
absorptions.
√
Ventilation-perfusion relationships. √
Blood coagulation and anticoagulants. √
Carbohydrate homeostasis.
Physiology of hypothalamic-pituitary
adrenal axis.
√
Voluntary movement. √
Acid base balance. √
GFR, plasma clearance. Renal tubular
functions
√
Arrhythmias √
Cardiovascular Regulatory mechanisms √
Interstitial fluid formation and its
disorders.
√
Cardiac reserve and coronary
circulation..
√
Pain sensation and pain control √
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
In the last week of the semester and at the same day of
attendance to the subspecialty unit the exam will be conducted
Distribution of Marks
End of term written exam 100%
List of Textbooks and References
Lecture Notes √
Print-out of given lectures √
Course Text Books
Guyton and Hall Textbook of Medical
Physiology
Suggested Extra Reading
Ganong’s Review of Medical Physiology
Journals and Periodicals, others
Course Instructor: Prof Dr/ Nihal El-Habachi Signature
Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature
Department Head: Prof Dr/ Yehia Ghanem Signature
√ √
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Internal Medicine
Course Information
Course Code: 053108150 Course Name: Imaging for Internal Medicine I
Program in which the Course is Given: Master Degree in Internal Medicine
Credit Hours : 1
Theoretical Practical
Course Aims
1. Give a quick overview to the internist about the different imaging modalities at hand serving
in diagnosis of the various internal medicine diseases.
2. Identify the key radiological findings for each disease.
3. Be able to identify the different imaging modalities.
4. Be able to identify the salient features of each disease.
Intended Learning Outcomes (ILOs)
Program ILO Course ILOs
A. Knowledge
and
Understandi
ng
Graduate of this program must
have good working knowledge of :
A9- Identify the common diagnostic
and laboratory tests necessary to
achieve the diagnosis of common
diseases.
A15- Recognize the main recent
advances in the diagnosis &
management of different internal
medicine diseases.
By the end of the program the PG
students will be able to:
a1-List the different radiological imaging
techniques available and know how to
differentiate between them.
a2- Identify the applied anatomy of the
different organs according to each imaging
technique.
a3- Define the most important radiological
signs that can be identified on imaging of
the most common diseases.
a4- Identify the new imaging techniques
a5- list the indications and precautions
using these new imaging techniques
0.5 0.5
B. Intellectual
skills
Graduate must be skillful in:
B5- Plan the appropriate
investigations for each patient to
help reaching the diagnosis.
B6- Interpret radiodiagnostic films,
blood gas, hematological and
biochemical reports of the patient.
B7- Recognize the different risks
of diagnostic procedures, and how
to avoid or manage them.
By the end of the program the PG
students will be able to:
b1- Formulate a search questionaire to
identify his aims through imaging of the
patient.
b2- Select the proper and best imaging
modality to reach the diagnosis.
b3- identify the alternative imaging
modality in case of presence of a
contraindication to do certain one.
b4- Identify the best complementary
imaging to avoid misuse of radiological
imaging.
b5- Describe radio-diagnostic signs and
interpret other reports of the patient.
b6- recognize if imaging findings match
the suspected disease.
b7- Appraise the need for further imaging
to confirm the diagnosis
b8- recognize the contraindications ,
disadvantages and side effects of different
imaging modalities.
b9-Appraise the risk/benefit ratio of each
imaging procedure in a critically ill patient.
b10-Identify the proper pre-imaging
preparation to avoid the complications and
recognize the lines of their management
C. Professional
and
Practical
Skills
Graduate must have the following
skills:
C3- Diagnose and provide
management to all common internal
medicine diseases including acute
episodic medical illness.
By the end of the program the PG
students will be able to:
c1-perform a professional interpretation of
the different imaging films and correlate
with the clinical diagnosis.
C5 - Write medical reports
c2- construct a follow up scheme to
identify the progress of the disease on
imaging.
c3-Identify the key points that should be
entailed in every radiological report.
c4- Utilize sound language and medically
correct terms .
D. General
Skills
Graduate must acquire the
following skills:
_____________________
By the end of the program the PG
students will be able to:
_____________________
Course Content
(Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small group
discussion
Others
General knowledge of
imaging procedures
√ √
Chest imaging √ √
GIT imaging √ √
Endocrinal imaging √ √
Musculoskeletal imaging √ √
Neuro imaging √ √
Cardiovascular imaging √ √
Genitourinary imaging √ √
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
In the last week of the semester and at the same day of
attendance to the subspecialty unit the exam will be conducted
Distribution of Marks
Written exam 70%
Practical/ clinical exam 30%
List of Textbooks and References
Lecture Notes
Print-out of given lectures
Course Text Books
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor: Prof Dr/ Adel rezk Signature
Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature
Department Head: Prof Dr/ Yehia Ghanem Signature
√
√
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Internal Medicine
Course Information
Course Code: 05150803 Course Name: Rheumatology and Immunology
Program in which the Course is Given: Master Degree in Internal Medicine
Credit Hours : 2.5
Theoretical Practical
Course Aims: The aim of this course is to: graduate a competent skillful physician who can deal with
the common rheumatic diseases in the community, adopt continuous medical education, and can be
involved in research teams and to make the student acquire an acceptable understanding of the science
of clinical immunology & its importance in health &disease, also toenable the students to recognize
the immunological abnormalities in different autoimmune, Immunodeficiency and infectious diseases
Intended Learning Outcomes (ILOs)
Program ILO Course ILOs
A. Knowledge and
Understanding
Graduate of this program
must have good working
knowledge of :
A1- Describe the
characteristics of different
diseases in different internal
medicine subspecialties.
By the end of the program the PG students
will be able to:
a1-Define the characteristics of different
rheumatologic diseases.
a2-Outline the differences between
seropositive and seronegative rheumatic
diseases.
a3-Recognize the spectrum of diseases like
systemic lupus erythematosis and systemic
sclerosis.
a4-Differentiate between muscular diseases
and joint diseases.
a5- Review the special characteristics of
immunological diseases including autoimmune
and immune-complex diseases.
a6- Recognize the immune – deficiency states
1.5 1
A2- Identify the effect of
different factors involved in
the pathogenesis different
diseases of internal medicine.
A3- Discuss the etiology,
pathogenesis and clinical
presentation of the different
diseases of internal medicine.
and how to protect against and manage
opportunistic infections.
a7-list the factors involved in the pathogenesis
of different rheumatologic disease.
a8- Point the environmental factors that
exacerbate the different rheumatologic
diseases.
a9- Name the drugs that induce rheumatologic
doseases specially systemic lupus
erythematosis.
a10- Describe the mechanisms by which disease
processes evolve secondary to alteration of the
immune system.
a11- List the etiology of different
rheumatologic diseases.
a12- Describe the pathogenesis of different
rheumatologic diseases.
a13- Trace the clinical presentations of
different rheumatologic diseases.
a14- List the etiology of immunological
diseases.
a15- Describe the pathogenesis of
immunological diseases like rheumatoid
arthritis, systemic lupus, serum sickness,
congenital and acquired immune-deficient
diseases.
a16- Review the clinical presentations of
various immunological diseases
A6- Identify the etiology,
genetics, pathology and
prognosis of the most
common physical and mental
diseases in the community.
A7- Appreciate the clinical
spectrum of multi-systemic
common medical conditions.
A8- Trace the clinical
symptoms related to different
body systems.
A9- Identify the common
diagnostic and laboratory
tests necessary to achieve the
diagnosis of common
diseases.
A11- Describe the different
management protocols of
diseases of internal medicine.
a17- Recognize the genetic bases of the most
common rheumatologic diseases.
a18- Describe the pathology of the common
rheumatologic diseases.
a19- Predict the prognosis of the common
rheumatologic diseases.
a20- Recognize the multi-systemic nature of
collagenic diseases and vasculitis.
a21- State the cardiovascular, pulmonary and
gastrointestinal symptoms related to different
rheumatologic diseases.
a22- List the neurological, musculoskeletal
,endocrinal and metabolic symptoms due to
rheumatologic diseases.
a23- Select the proper diagnostic and laboratory
tests of common immunological diseases like
detection of auto-antibodies, complement level,
or viral antibodies for AIDS.
a24- Name the recent new diagnostic tests in
this field.
a25- Outline the different management
protocols of rheumatologic diseases such as
rheumatoid arthritis and systemic lupus
erythematosis.
a26- Name the new lines of management of
rheumatologic diseases.
a27- Outline the different management
A12- Recall range of adverse
drug reactions to commonly
used drugs, including
complementary medicine.
A13- Recall drugs requiring
therapeutic drug monitoring
and interpret results.
A14- Outline tools to promote
patient safety and prescribing
including IT system.
A15- Recognize the main
recent advances in the
diagnosis & management of
different internal medicine
diseases.
protocols of different immunological diseases.
a28- List the indications and the guidelines of
use of immunosuppressive drugs, anti-
cytokines, monoclonal antibodies, anti-B cell
therapy, drugs which interfere with T-cell-APC
interactions and intravenous immunoglobulin.
a29- List the adverse drug reactions of Disease-
modifided drugs, nonsteroidal anti inflammatoy
drugs and complementary medicine.
a30- Point to the ways of minimizing the side
effects of the used drugs.
a31- Review the adverse drug reactions to
commonly used drugs like activation of
dormant infections like TB, or development of
systemic lupus or multiple myeloma.
a32- Outline tools to promote patient safety by
investigating patients thoroughly before use of
drugs.
a33- Recognize the drugs requiring therapeutic
drug monitoring and interpret results like
cyclosporines.
a34- Recognize the tools that promote patient
safety and prescribing through good pre
prescribing screening.
a35-Estimate the renal and hepatic functions at
regular times all through drug therapy.
a36- Monitor the blood picture frequently.
a37-Trace the main recent advances in the
laboratory investigations of different
rheumatologic diseases.
a38- Describe the recent lines of management.
a39- Identify the rapid progress in the diagnosis
& management of immunological disorders.
a 40- Revise the main recent advances in the
A16- Proper use of IT in order
to be up to date as regard the
science of internal medicine
and its subspecialities.
A17- Recognize of the
essential principals of
scientific medical research.
A18- Mention the principles
and fundamentals of ethics
and legal aspects of scientific
research in the field of
internal medicine.
diagnosis & management of immunological
disorders.
a41- Search on the network in the proper way
and right time to update his knowledge about
different rheumatologic diseases.
a42- Use the net research to update his
knowledge as regard immunological disorders
a43- Define the essential principals of
scientific medical research specially in the
presence of the era to use the alternative and
complementary medicine in management of
rheumatoid diseases specially rheumatoid
arthritis.
a44- Apply the principals of scientific medical
research on trial new drugs.
a45- List the principles of ethics of scientific
research in the field of rheumatology.
B. Intellectual
skills
Graduate must be skillful in:
B1- Use the structural &
functional characteristics of the
different body systems to
explain the different
pathological problems.
By the end of the program the PG students
will be able to:
b1- Illusterate the structural characteristics of
the musculoskeletal system.
b2-Review of the functional characteristics of
the musculoskeletal system.
b3-Explain the pathological problems of
rheumatoid diseases in relation to the
derangement of structure and function of the
musculoskeletal system.
b4-Illusterate the structure of the immune
B2-Analyze the clinical signs
and symptoms of different
internal medicine problems to
reach a diagnosis /differential
diagnosis.
B3- Select from different
diagnostic alternatives to
reach a final diagnosis.
B4- Analyze , interpret, and
objectively evaluate the
history data and physical
signs in order to select the
appropriate diagnostic
procedures required.
B5- Plan the appropriate
investigations for each patient
to help reaching the diagnosis.
B7- Recognize the different
system.
b5- Review the regulatory mechanisms of the
immune system.
b6- Relate the derangements in structure and
functions of the immune system to the immune
related disorders.
b7 - Detect the symptoms & signs of
rheumatologic diseases.
b8 – Integrate the clinical symptoms and signs
to reach a final diagnosis and proper decision
making.
b9- Follow the diagnostic algorithm of different
rheumatological problems.
b10- Extrapolate the final diagnosis through
skillful application of diagnostic approches.
b11- Integrate the history data and physical
signs.
b12- Select and properly interpret the
appropriate laboratory tests for diagnosis of
rheumatic diseases.
b13- select and properly interpret the
appropriate imaging techniques for diagnosis of
rheumatic diseases.
b14- select and properly interpret the
appropriate neuro-physiological tests for
diagnosis of rheumatic diseases.
b 15- Select the appropriate investigations
matching each patient to help reaching the
diagnosis.
risks of diagnostic
procedures, and how to avoid
or manage them.
B8- Solve some complex
atypical problems.
B9- Use the analytical
thinking skills in problem-
solving and decision making
skills for appropriate
management of common
conditions.
B11- Plan appropriate
management lines for
individual patients presenting
with the most common
medical disorders.
B13- Apply principles of
scientific research.
B14- Analyze reading of
research and issues related to
the internal medicine.
b16- Design a plan of sequential and logic
investigations to reach the diagnosis in a short
time.
b17- List the different risks of diagnostic
procedures like arthrocentesis.
b18- Define how to avoid or manage these
risks.
b19 -Construct a questionnaire to resolve some
complex problems and adhere to the guide lines
for diagnosis.
b20- Sketch the diagnostic algorithms to help
the approach to atypical cases.
b21- Apply the analytical thinking skills for
appropriate management of common
conditions.
b22- Select the appropriate treatment between
different treatment modalities based on best
practice evidence and cost effectiveness.
b23-Plan the appropriate management lines on
individualized base, respecting the inter-
personal variations.
b24- Construct the appropriate management
lines of the most common immunological
disorders.
b25- Select from different protocols of
treatment respecting the individual variations
among the patients.
b26- Follow the principles of scientific
research.
b27- Extract the needed information through
proper reading of papers and issues related to
clinical immunology.
b28-Summarize the scientific issues to catch the
needed information.
C. Professional
and Practical
Skills
Graduate must have the
following skills:
C1- Interview patients/families
about the particulars of the
medical condition for which
they seek care, with specific
attention to behavioral,
psychosocial, environmental,
and family unit correlates of
disease.
C2- Perform full clinical
examination of different
systems and organs related to
internal medicine diseases.
C3- Diagnose and provide
management to all common
internal medicine diseases
including acute episodic
medical illness.
By the end of the program the PG students
will be able to:
c1- Construct a proper history from the patient
about his disease for which the help was sought.
c 2- Interview the patient about his behavioral,
psychosocial and environmental conditions
which could be related to his disease.
c 3- Interview the patient family about the
patient disease.
.
c4- Conduct full clinical examination of
different systems and organs related to
rheumatologic diseases.
a5- Diagnose , stabilize and refer patients with
acute rheumatologic emeregencies.
c6- Diagnose and treat simple uncomplicated
rheumatologic diseases.
c7- Diagnose and refer patients with
rheumatologic disease that need specific
management by rheumatologist.
c8- Order base line investigations that help to
diagnose common lipid disorders the graduate
is likely to face in practice.
c9- Relate the results of investigations with the
clinical findings to diagnose the patient’s
illness.
C4- Evaluate patients
functionally
C5 - Write medical reports
C6 -Integrate patient’s
symptomatology, historic data,
abnormal physical signs and
investigations into a
comprehensive differential
diagnosis in various body
systems affection.
C7- Perform procedures such
as pleural tap, paracentesis,
lumbar puncture, and
attendance of Intra-articular
injections & arthrocentesis,
Ultrasound and echo
sessions,Endoscopy sessions,
ERCP session, Hemodialysis
c10- Construct the plan of treatment for
common acute health problems.
c 11- Assess the overall mental and
psychological state of the patient.
c12- Evaluate the functional status of the
patient.
c13- Assess the degree of independency.
c14 – Write full clear and comprehensive
medical .
c15- Use a simple language in writing medical
reports.
c16- Trace the patient’s symptoms and historic
data.
c17- Collect the abnormal physical signs and
investigations and integrate them into a
comprehensive differential diagnosis.
c18- Recognize the Intra-articular injections &
arthrocentesis
c19- interpret the results of synovial fluid
analysis.
c20- Define the indications, contraindications,
and complications of arthrocentesis and intra
articular injections.
c21- Manage the complications as soon as
possible and refer to a specialist if indicated.
C 8 - Determine the
indications, contraindications,
and complications of various
procedures listed.
D. General Skills
Graduate must aquire the
following skills:
D1- Retrieve information from
all sources ( printed, electronic,
communications etc…) at as
minimum time as possible.
D2-Search effectively in med
line data bases to find relevant
articles related to the patient's
conditions.
D3- Recognize the importance
of being an independent self-
learner and acquire the
capability to search through
medical data base .
D4-Verify the accuracy of
scientific material on basis of
best evidence in Medicine and
in practice.
D.5. Assess himself and
identify personal learning
needs.
By the end of the program the PG students
will be able to:
d1- Extrapolate the information from electronic
sources.
d2-Quote the needed information from
textbooks in short time.
d3-Extrapolate the needed information from the
med line data bases.
d4- identify the different web sites for med line
data research.
d5 - Adopt the principles of lifelong learning.
d6- Appraise self learning and develop the
capability to reach the needed information.
d7- Employ the evidence based medicine in
verifying the accuracy of the scientific
information.
d8- Develop appropriate professional attitudes.
d9– Specify the various problems and issues
related to patients.
d10- Define his learning needs to upgrade his
Knowledge and skills.
d11- Lead the team work in the ward or in
dialysis units.
D7- Work effectively within a
team.
D8- Communicates effectively
with different members of the
internal medicine
subspecialties .
D9- Communicate effectively
with patients and their families.
d12- Appraise the team work and encourage
others to join.
d11- present information clearly to the
different members of rheumatology unit.
d12- Communicate effectively using verbal and
non verbal methods with people at various
levels of education, intelligence, social and
cultural strata.
d13- Utilize effective methods of written
communication to transfer ideas and
information in official and non official settings.
d14 - Provide family support and health
education.
d15- Report the patient and his family about the
risks and prognosis of his rheumatologic
disease.
d16- Present information to others according
to their educational level utilizing verbal and
available audiovisual tools.
Course Content (Units/Topics)
Teaching/Learning Methods
Lecture
s
self
learning
Practical/
Clinical
Small
group
discussion
Journa
l
Club
1 Laboratory investigations of
rheumatic diseases. √
2 Normal articular examination.
√
3 Clinical examination of rheumatic
patient
√ ()
4 Clinical examination of a Rheumatoid
Arthritis patient. √
5 Measurements of functional status and
diseases activity in rheumatic
diseases.
√
6 Clinical examination of SLE patient. √
7 Rheumatoid arthritis
(pathophysiology, clinical picture). √
8 Clinical examination of an
Ankylosing spondylitis patient. √
9 Management of rheumatoid arthritis √
10 Clinical examination of a Systemic
sclerosis patient. √
11 Systemic lupus erythematosus and
Anti-phospholipid syndrome. √
12 Dermatological manifestations of
rheumatic diseases. √
13 Seronegative spondylopathies
(Ankylosing Spondylitis). √
14 Clinical examination of muscular
diseases. √
15 Vasculitides, √
16 Radiological training and evaluation
of different rheumatic diseases. √
17 Behcet & sarcoidosis. √
18 Intra-articular injections &
arthrocentesis √
19 Crystal induced arthritis. √
20 Systemic sclerosis and related
disorders √.
21 Juvenile chronic arthritis. √
22 Inflammatory muscle diseases and
Polymyalgia Rheumatica. √
23 Osteoporosis & osteoarthritis.
√
24 Cells of immune system
()
25 HLA –system
()
26 Complement system
()
27 Hypersensitivity reactions
() ()
28 Autoimmunity
() ()
29 Immune complex diseases
() () ()
30 Immune deficiency diseases
() ()
31 AIDS
()
32 Cytokines
()
33 Adhesion molecules
() ()
334 Immune-based therapies
() () ()
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
In the last week of the semester and at the same day of
attendance to the subspecialty unit the exam will be conducted
Distribution of Marks
Mid term exam 30%
Written Exam 40 %
Practical/Clinical Exam 30 %
√
() √
() √
List of Textbooks and References
Lecture Notes
Print-out of given lectures
Course Text Books
Davidson Textbook of Medicine
Suggested Extra Reading
Annals of rheumatic diseases
Journals and Periodicals, others
Lancet
Course Instructor: Prof Dr Manal Tayel/ prof Dr Anna Abou Rayya Signature
Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature
Department Head: Prof Dr/ Yehia Mostafa Ghanem Signature
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Internal Medicine
Course Information
Course Code: 05150807 Course Name: Diabetes, Metabolism and lipidology
Program in which the Course is Given : Master Degree Internal Medicine
Credit Hours : 2.5
Theoretical Practical
Course Aims: allow the student to diagnose and effectively treat diabetes mellitus and its
complications, and other common metabolic diseases, maintain follow-up of patients and accurate
records, provide emergency measures for acute and critically ill patients and to allow the candidates
to diagnose and treat patients with a variety of lipid disorders whether primary or secondary to other
internal medicine.
Intended Learning Outcomes (ILOs)
Program ILO: Program ILO
(refer to program matrix
Course ILOs
A. Knowledge
and
Understandi
ng
By the end of the program the
PG students will be able to:
A1- Describe the characteristics of
different diseases in different
internal medicine subspecialties.
A3- Discuss the etiology,
pathogenesis and clinical
presentation of the different
diseases of internal medicine
By the end of the program the PG
students will be able to:
a1-Define the characteristics of different
types of diabetes mellitus and other
common metabolic diseases.
a2--Discuss the epidemiology of different
types of DM to realize the impact of the
disease on the community.
a3- List the etiology of secondary diabetes
mellitus
a4-Discuss the pathogenesis and clinical
1.5 1
A8- Trace the clinical symptoms
related to different body systems.
A11- Describe the different
management protocols of diseases
of internal medicine.
A15- Recognize the main recent
advances in the diagnosis &
management of different internal
medicine diseases.
symptoms of different types of diabetes
mellitus as well as other common
metabolic diseases.
a5- List the causes and risk factors of
common lipid disorders.
a6- State the effects of these factors on the
course of the disease.
a7- Describe the mechanisms by which
disease processes evolve secondary to lipid
disorders.
a8- Identify the alterations in body
structure produced by common lipid
disorders.
a9- Recognize the different clinical
presentations of lipid disorders.
a10- Practice a thorough systemic history
taking with the consideration of multi
systemic effects of lipid disorders.
a11- Examine the different body systems to
extrapolate the multi systemic effects of
lipid disorders.
a12- Identify the management protocols
adopted for treatment of different types of
diabetes mellitus
a13- Discuss the lines of management of
gout.
a14- State the basic investigations used in
diagnosis of common lipid disorders.
a15--Define the treatment options for
common lipid disorders, recognizing the
different levels of interventions.
A17-recognize of the essential
principals of scientific medical
research.
a16- Outline the steps of management of
diabetic complications and diabetic
emergencies.
a17- Identify the new guide lines for
diagnosis and management of the different
types diabetes mellitus.
a18- state the essential principals of
scientific medical research specially on
doing drug trials.
B. Intellectual
skills
By the end of the program the
PG students will be able to:
B1- Use the structural & functional
characteristics of the different body
systems to explain the different
pathological problems.
B2- Analyze the clinical signs and
symptoms of different internal
medicine problems to reach a
diagnosis /differential diagnosis.
By the end of the program the PG
students will be able to:
b1-Review the mechanisms of glucose
regulation.
b2-Classify diabetes mellitus and identify
the characteristics of different categories;
type 1, type 2, gestational, and secondary
diabetes .
b3- Explain the different pathological
problems associated with diabetes mellitus.
b4-Apply the basic biomedical sciences in
understanding disease mechanisms
secondary to lipid disorders.
b5--Search for & prioritize information
relevant to common clinical problems
taking into consideration the limitations of
this information.
b6-Trace the clinical signs and symptoms
of diabetes mellitus.
b7- Name the clinical signs and symptoms
of gout.
B5- Plan the appropriate
investigations for each patient to
help reaching the diagnosis.
B8- Solve some complex atypical
problems.
B10- Choose /compare between
different treatment modalities
based on best practice evidence
and cost effectiveness.
B11- plan appropriate management
lines for individual patients
presenting with the most common
medical disorders.
B12- Critically appraise current
literature on diseases of internal
medicine.
b8-Analyze & interpret information
reaching a logic conclusion to solve
common clinical problems related to lipid
disorders.
b9-Interpret the patients’ symptoms and
signs and apply proper clinical reasoning to
reach a diagnosis/differential diagnosis.
b10- Select the appropriate investigations
and individualize them according to
presence or absence of diabetic
complications.
b11- Order certain challenge tests as fasting
blood glucose and after a specific oral
glucose dose to diagnose gestational
diabetes.
b12-Outline the plan of investigations in
the view of available clinical data.
b13-Integrate the clinical data with the
results of investigations to reach a
diagnosis.
b14- Construct a questionaire to resolve
some complex problems
b15 -Follow the guide lines for diagnosis.
b16-Design the plan for medical
management of common lipid disorders.
b17 - Construct a plan for management of
different types of diabetes.
b18-Select the best line of management of
other metabolic diseases like gout and
pseudogout.
B14- Analyze reading of research
and issues related to the internal
medicine.
b19 – Evaluate the medical scientific
information and review the literature.
b20-Utilize different models to upgrade his
scientific knowledge, including self
learning and continuous medical education
courses.
C. Professional
and Practical
Skills
By the end of the program the
PG students will be able to:
C1. interview patients/families
about the particulars of the medical
condition for which they seek care,
with specific attention to
behavioral, psychosocial,
environmental, and family unit
correlates of disease.
C2- Perform full clinical
examination of different systems
and organs related to internal
medicine diseases.
C3- Diagnose and provide
management to all common internal
medicine diseases including acute
episodic medical illness.
By the end of the program the PG
students will be able to:
c1- Obtain an accurate, patient-centered
medical history that covers all aspects of
the patient’s problems.
c 2- Interview the patient about his
nutritional and environmental conditions
which could be related to his lipid
disorders.
c 3- Interview the patient about his family
history of lipid disorders.
c4- Conduct full clinical examination of
different systems and organs of diabetic
patients from the head to the toes to detect
the expected complications especially if the
diabetes duration exceeded 5 years.
c5- Perform a full general physical
examination including palpation of all
peripheral pulses, xanthomas and
xanthelasmas and any signs of vascular
insufficency
c6- Practice a thorough systemic
examination specially the that of
cardiovascular system
c7- Integrate the information obtained by
history with findings of the physical
examination to reach a
diagnosis/differential diagnosis.
C4- Evaluate patients functionally
C7- Perform procedures such as
pleural tap, paracentesis, lumbar
puncture, and attendance of Intra-
articular injections &
arthrocentesis, Ultrasound and echo
sessions,Endoscopy sessions,
ERCP session, Hemodialysis
c8- Order base line investigations that help
to diagnose common lipid disorders the
graduate is likely to face in practice.
c9- Relate the results of investigations
with the clinical findings to diagnose the
patient’s illness.
c10- Construct the plan of treatment for
common acute health problems.
c 11- Assess the overall mental and
psychological state of the patient.
c12- Evaluate the functional status of the
elderly patient
c13- Assess the degree of independency.
c14-Perform basic procedures such as
insulin injection ,and glucose monitoring
D. General
Skills
By the end of the program the
PG students will be able to:
D1- Retrieve information from all
sources ( printed, electronic,
communications etc…) at as
minimum time as possible.
D4-Verify the accuracy of scientific
material on basis of best evidence
in Medicine and in practice
By the end of the program the PG
students will be able to:
d1- Extrapolate the information from
electronic sources.
d2-Quote the needed information from
textbooks in short time.
d3- Employ the evidence based medicine in
verifying the accuracy of the scientific
information.
D6-Present scientific information to
individuals and groups of different
educational and social levels.
D8- communicate effectively with
different members of the internal
medicine subspecialties members
D 9- Communicate effectively with
patients and their families.
d4- Develop appropriate professional
attitudes.
d5– Specify the various problems and
issues related to patients.
d6- Inform the patient and his family about
the risks and prognosis of his metabolic
disease.
d 7- Inform the patient and his family about
the behavioral and environmental hazards
on his metabolic disease
d8- Practice the medical orientation of
patients in different opportunities.
d9- present information clearly to the
different members of diabetology unit.
d10- Communicate effectively using verbal
and non verbal methods with people at
various levels of education, intelligence,
social and cultural strata.
d11- Utilize effective methods of written
communication to transfer ideas and
information in official and non official
settings
d12- Communicate effectively using verbal
and non verbal methods with people at
various levels of education, intelligence,
social and cultural strata.
d13- Utilize effective methods of written
communication to transfer ideas and
information in official and non official
settings.
d14- Present information to others
according to their educational level
utilizing verbal and available audiovisual
tools.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small group
discussion
Others
Classification, pathogenesis, and
diagnosis of Diabetes Mellitus.
Management of DM(1)
Management of DM(2):Insulin
therapy
Acute diabetic complications
Chronic diabetic complications
GDM
Hypoglycemia
Ca metabolism
Purine metabolism & Gout
Metabolic Syndrome &
cardiovascular risk reduction
Glycogen storage disease
Lysosomal storage disease
Case studies (1)
Case studies (2)
Lipids in Diet
Digestion of Fat
Absorption of Fat
Plasma Lipoproteins
Fredrickson Classification Secondary
Hyperlipidemia
Familial Syndromes of Lipid
disorders
Risk factors of Atherosclerosis
Pathogenesis of Atherosclerosis
HDL-C
Targets&Treatment of Dyslipidemia
Recent Therapy of Dyslipidemia
Role of lipoproteins in atherogenesis
Please check () the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 30 %
Others %
List of Textbooks and References
Lecture Notes
Print-out of given lectures
Course Text Books
Harrison’s of Internal Medicine
Kumar Text Book of Internal Medicine
Davidson Textbook of Medicine
Clinical diabetes
Suggested Extra Reading
Cecil Text Book of Internal Medicine
Journals and Periodicals, others
Lipidsonline.com
American Journal of Lipidology
Course Instructor: .Prof Dr/ Yehia Ghanem, Prof Dr/ Eman youssef
Program Coordinator: Prof Dr/ Mohamed Samy Gad
Department Head: Prof Dr/ Yehia Moustafa Ghanem
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Internal Medicine
Course Information
Course Code: 050208150 Course Name: Cardiovascular Diseases
Program in which the Course is Given : Master Degree Internal Medicine
Credit Hours : 2
Theoretical Practical
Course Aims: To allow the candidates to diagnose and treat patients with a variety of common chest
disorders.
Intended Learning Outcomes (ILOs)
Program ILO Course ILOs
A. Knowledge and
Understanding
By the end of the program the
PG students will be able to:
A1- Describe the characteristics
of different diseases in different
internal medicine subspecialties.
A2- Identify the effect of
different factors involved in the
pathogenesis different diseases
of internal medicine.
By the end of the program the PG
students will be able to:
a1- Define the characteristics of valvular
heart diseases
a2- Outline the characteristics of coronary
artery diseases.
a3- List the characteristics of pericardial
diseases.
a4- Describe the characteristics of
myocardial diseases.
a5- Outline the role of infection,
autoimmunity, environment ,..etc in the
pathogenesis of coronary artery diseases,
hypertension, cardiomyopathy and
arrhythmias.
1 1
A3- Discuss the etiology,
pathogenesis and clinical
presentation of the different
diseases of internal medicine.
A10- Appreciate the impacts of
professional practice on the
environment.
A11- Describe the different
management protocols of diseases
of internal medicine.
A15- Recognize the main recent
advances in the diagnosis &
management of different internal
medicine diseases.
A18- Mention the principles and
fundamentals of ethics and legal
aspects of scientific research in
the field of internal medicine.
a6- list the etiology of the different
cardiac diseases.
a7- explain the pathogenesis of cardiac
diseases.
a8-Describe the clinical presentations of
the diffferent cardiac diseases
a9- Recognize the risk/benefit ratio of
professional practice such as
echocardiography , cardiac catheterization
and pacemaker implantation
a10- Evaluate their hazards on the patient
and surrounding environment.
a11- Identify the updated management
protocols of acute myocardial infarction,
acute coronary syndrome, hypertension and
its complication and heart failure.
a12- Manage the risk factors like hyper-
lipidemia and atherosclerosis.
a13- Trace the main recent advances in the
diagnosis of different cardiovascular
diseases including the new imaging
modalities and radionucleid scan.
a14- identify the main recent advances in
the management of different
cardiovascular diseases including the use
of fibrinolytic drugs and intelligent stents
in dealing with coronary heart disease.
a15- Recall the new antihypertensive
drugs and their indications.
a16- Define the ethical and legal aspects
of scientific research specially if
intervention techniques will be used.
B. Intellectual
skills
By the end of the program the
PG students will be able to:
B1- Use the structural &
functional characteristics of the
different body systems to explain
the different pathological
problems.
B2-Analyze the clinical signs
and symptoms of different
internal medicine problems to
reach a diagnosis /differential
diagnosis.
B3- Select from different
diagnostic alternatives to reach a
final diagnosis.
B4- Analyze , interpret, and
objectively evaluate the history
data and physical signs in order
to select the appropriate
diagnostic procedures required.
B7- Recognize the different risks
of diagnostic procedures, and how
to avoid or manage them.
B8- Solve some complex atypical
problems.
By the end of the program the PG
students will be able to:
b1- Illusterate the anatomical
characteristics of the heart.
b2-Review of the functional
characteristics of the heart.
b3-Explain the pathological problems of
cardiac diseases in relation to the
derangement of structure and function of
the heart.
b4 - Detect the symptoms & signs of
cardiac diseases.
b5 – Integrate the clinical symptoms and
signs to reach a final diagnosis and proper
decision making.
b6- analyze and interpret informations from
alternatives to reach a final diagnosis as the
use of multislice CT imaging in unfit
patients for cardiac catheterization.
b7- Analyze the history data.
b8- Detect the physical signs.
b9- Integrate the clinical symptoms and
signs to reach a final diagnosis and proper
decision making.
b10- Identify the different risks of cardiac
catheterization and how to avoid or
manage them.
b11- recognize the risks of cardiac
imaging.
b12-Construct a questionnaire to resolve
some complex problems and adhere to the
guide lines for diagnosis.
b13- Sketch the diagnostic algorithms to
help the approach to atypical cases.
B9 -Use the analytical thinking
skills in problem-solving and
decision making skills for
appropriate management of
common conditions.
b14- Apply the analytical thinking skills for
appropriate management of cardiac
diseases.
b15- Select the appropriate treatment
between different treatment modalities
based on best practice evidence and cost
effectiveness.
b16-Plan the appropriate management lines
on individualized base, respecting the
inter-personal variations..
C. Professional
and Practical
Skills
By the end of the program the
PG students will be able to:
C1- Interview patients/families
about the particulars of the
medical condition for which they
seek care, with specific attention
to behavioral, psychosocial,
environmental, and family unit
correlates of disease.
C2- Perform full clinical
examination of different systems
and organs related to internal
medicine diseases.
C3- Diagnose and provide
management to all common
internal medicine diseases
including acute episodic medical
illness.
By the end of the program the PG
students will be able to:
c1- Construct a proper history from the
patient about his cardiac disease for which
the help was sought.
c 2- Interview the patient about his
behavioral, psychosocial and
environmental conditions which could be
related to his cardiac disease.
c 3- Interview the patient family about the
patient cardiacl disease.
c4- Perform full clinical examination of
different systems and organs that may be
the underlying cause of his cardiac problem
eg; renal failure or diabetes mellitus and
their cardiac complications.
c5- approach appropriately to common
cardio vascular diseases including acute
episodic medical illness such as acute
myocardial infarction , arrhythmias and
hypertensive crisis and manage them
effectively and at the shortest time.
C4- Evaluate patients functionally
C5 - Write medical reports
C7- Perform procedures such as
urgent pericardiocentesis and
pleural tap, Attend Ultrasound
and echo sessions.
C8 - Determine the indications,
contraindications, and
complications of various
procedures listed.
c6- Stabilize the patients with acute cardiac
emergency and refer him to a cardiac center
in short time.
c7- Evaluate patients functionally
according to NYHA classification and
insure his independency.
c 8- Assess the overall mental and
psychological state of the patient.
c9- Assess the degree of independency.
c10 - Write full clear and comprehensive
medical reports.
c11- Use a simple clear language on
writing reports.
c12- Interpret the echo images and write a
scientific report.
c13- Recognize cardiac catheterization.
c14- Recognize pericardio-centesis
procedures
c 15 – outline the indications,
contraindications, and complications of
various procedures listed.
D. General Skills
By the end of the program the
PG students will be able to:
D1- Retrieve information from all
sources ( printed, electronic,
communications etc…) at as
minimum time as possible.
D2-Search effectively in med line
data bases to find relevant articles
related to the patient's conditions.
By the end of the program the PG
students will be able to:
d1- Extrapolate the information from
electronic sources.
d2-Quote the needed information from
textbooks in short time.
d3-use properly the med line data bases to
get the needed articles related to the
patient's conditions.
D3- Recognize the importance of
being an independent self-learner
and acquire the capability to
search through medical data base .
D4-Verify the accuracy of
scientific material on basis of best
evidence in Medicine and in
practice.
D6-Present scientific information
to individuals and groups of
different educational and social
levels
D7- Work effectively within a
team.
D8- communicates effectively
with different members of the
internal medicine subspecialties.
D9- Communicate effectively
with patients and their families.
d4- Adopt the principles of lifelong
learning.
d5- Appraise self learning and develop the
capability to reach the needed information.
d6- Employ the evidence based medicine in
verifying the accuracy of the scientific
information.
d7- Develop appropriate professional
attitudes.
d8– Specify the various problems and
issues related to patients.
d9- Inform the patient and his family about
the risks and prognosis of his cardiac
disease.
d10- Lead the team work in the ward or in
dialysis units.
d11- Appraise the team work and
encourage others to join.
d12- present information clearly to the
different members of cardiology unit.
d13- Communicate effectively using verbal
and non-verbal methods with people at
various levels of education, intelligence,
social and cultural strata.
d14- Utilize effective methods of written
communication to transfer ideas and
information in official and non official
settings.
d15- Provide family support and health
education.
d16- Report the patient and his family
about the risks and prognosis of his
rheumatologic disease.
d17- Present information to others
according to their educational level
utilizing verbal and available audiovisual
tools.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
1-Arrhythmia + + +
2-Infective endocarditis + +
3-Hypertension + +
4-Nuclear cardiology + + +
5-Hypotension and shock +
6-Electrocardiography + + + +
7-Cardiomyopathy and myocarditis +
8-Congenital heart dis. in adults + +
9-Peicardial dis. + + +
10-Cor pulmonale + +
11-IHD,stable angina + +
12-IHD;Acute coronary syndromes + +
13-Echocardiography + + +
14-Pacemakers +
15-Diseases of Aorta + +
16-Rheumatic fever & vavular heart
dis.
+ +
17-Cardiac cath.&angio + + +
18-Heart failure +
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
In the last week of the semester and at the same day of
attendance to the subspecialty unit the exam will be conducted
Distribution of Marks
70% Theoretical Exam
30% Clinical Exam
List of Textbooks and References
Lecture Notes
Print-out of given lectures
Course Text Books
Basic knowledge from Alexandria book of
Cardiology,Coperhensive cardiovascular
medicine of Eric Topol
Suggested Extra Reading
Braunwald' heart disease
Journals and Periodicals, others
Journals of ACC,ESC and circulation
Course Instructor: Prof.Dr.Eman Elsharkawy Signature
Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature
Department Head: Prof Dr/ Yehia Ghanem Signature
√
√
√
√
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Internal Medicine
Course Information
Course Code: 053308150 Course Name: Tropical Medicine for Internal
Medicine
Program in which the Course is Given: Master Degree in Internal Medicine
Number of Credit Hours : 1 Theoretical Clinical/Practical
Course Aims
The student should have a fundamental knowledge about the most relevant topics in Tropical
medicine to internal medicine practice namely; Schistosomiasis, eosinophilia & Fasciolaisis,
intestinal helminthes. Leshmaniasis, Malaria and Toxoplasmosis, Amoebiasis, Giardiasis, and
Dysenteric Syndrome, Enteric fevers and Brucellosis, PUO, heat disorders, HIV, Cholera. Food
Poisoning, Rabies & tetanus, Filaria, Hydatidosis Meningitis, and Advice to travelers
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
By the end of the program the
PG students will be able to:
A1- Describe the characteristics
of different diseases in
different internal medicine
subspecialties.
a1- Describe the characteristics of the most
commonly encountered tropical parsitic
diseases especially those endemic to our
community such as schistosomiasis,
fascioliasis,and other helminthic
infections
a2- Describe the characteristics of the most
commonly encountered tropical bacterial
and viral infectious diseases in our
community such as enteric fevers,
brucellosis ,meningitis etc.
a3- Describe the characteristics of some
common conditions occurring in the
Tropics such as heat disorders.
1/2 1/2
A2- Identify the effect of
different factors involved in
the pathogenesis different
diseases of internal medicine.
A3- Discuss the etiology,
pathogenesis and clinical
presentation of the different
diseases of internal medicine.
A7- Appreciate the clinical
spectrum of common medical
conditions with multisystem
affection.
A10- Appreciate the impacts of
professional practice on the
environment.
a4- Identify the common mechanisms
involved in the pathogenesis of the
studied parasitic infections including
immunologic mechanisms
a5- Identify the common mechanisms
involved in the pathogenesis of studied
bacterial and viral infectious diseases.
a6- Identify the pathogenic mechanism
involved in the occurrence of heat
disorders in the tropics
a7- Discuss the etiology, pathology and
clinical presentation of the commonly
encountered tropical parasitic diseases in
our community such as schistosomiasis,
fascioliasis, intestinal helminthes, etc
a8- Discuss the etiology, pathology and
clinical presentation of the commonly
encountered tropical infectious bacterial
and viral diseases in our community such
as enteric fevers , Brucellosis, and
Meningitis etc
a9- Discuss the etiology, pathology and
clinical presentation of some common
conditions occurring in the Tropics such
as heat disorders.
a10- Define the clinical spectrum of the
studied parasitic and infectious diseases
with its effect on the various organs and
systems of the body.
a11- Recognize uncommon presentation of
the studied common tropical parasitic
and infectious diseases.
A11- Describe the management
protocols &/or procedures
adopted in management of
diseases of internal medicine.
A15- Recognize the main recent
advances in the diagnosis &
management of different
internal medicine diseases.
a12- Recognize the role of professional
practice in the field of tropical medicine
and its impact on the good management
and control of most common infectious
diseases.
a13- Recognize the role of professional
practice in the field of tropical medicine
and its impact on the good management
and control of most common endemic
parasitic diseases.
a14- Describe the management protocols
adopted in the management of the
studied bacterial and viral infectious
diseases.
a15- Describe the management protocols
adopted in the management of the
studied endemic parasitic diseases.
a16- Describe the management protocols
adopted in the management of heat
disorders.
a17- Recognize the recent advances in the
diagnosis and management of the studied
bacterial and viral infectious diseases.
a18- Recognize the recent advances in the
diagnosis and management of the studied
endemic parasitic diseases.
B. Intellectual
skills
By the end of the program the
PG students will be able to:
B2-Analyze the clinical signs and
symptoms of different internal
medicine problems to reach a
diagnosis /differential
diagnosis.
b1- Analyze the clinical signs and symptoms
of the patients with fever or PUO to
reach a diagnosis/ differential diagnosis.
b2- Analyze the clinical signs and symptoms
of the patients with different syndromes
B3- Select from different
diagnostic alternatives to
reach a final diagnosis.
B4- Analyze, interpret, and
objectively evaluate data
obtained from patient’s
history and physical findings
for choosing the appropriate
diagnostic procedures
required.
related to parasitic diseases to reach a
diagnosis/ differential diagnosis e.g.
eosinophilia, abdominal pain and
diarrhea etc.
b3- Use appropriately different diagnostic
modalities to reach a final diagnosis in
patients with fever syndrome and PUO.
b4- Use appropriately different diagnostic
modalities to reach a final diagnosis in
patients with clinical syndromes related
to parasitic and infectious diseases e.g.
eosinophilia, abdominal pain, and
diarrhea etc.
b5- Analyze, interprets, and objectively
evaluates data obtained from patient’s
history and physical findings and
choosing the appropriate diagnostic
procedures required to reach a diagnosis
of patients with fever syndrome and
PUO.
b6- Analyze, interpret, and objectively
evaluate data obtained from patient s
history and physical findings and
choosing the appropriate diagnostic
procedures required to reach a diagnosis
of patients with clinical syndromes
related to parasitic diseases e.g.
eosinophilia , abdominal pain etc.
C.Professional
and Practical
Skills
By the end of the program the
PG students will be able to:
C2- Perform full clinical
examination of different systems
and organs related to internal
medicine diseases.
c1- Perform full clinical examination of
different systems and organs related to
the studied bacterial and viral infectious
diseases.
c2- Perform full clinical examination of
different systems and organs related to
the studied parasitic diseases paying
particular attention to abdominal
examination.
D. General
Skills
By the end of the program the
PG students will be able to
____________________
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Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Schistosomiasis
Eosinophilia & Fascioliasis
Intestinal helminthes
Filaria & hydatidosis
Malaria & Toxoplasma
Leishmaniasis
Amoebiasis & Giardiasis
Enteric fever & Brucellosis
Cholera & Food poisoning
Dysenteric syndromes
Meningitis
Rabies & Tetanus
HIV
PUO
Heat disorders
Advice to travellers
Please check () the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 30 %
Others %
List of Textbooks and References
Lecture Notes
Lectures prepared by the staff
Course Text Books
Cook G, Zumla A, eds. Manson s Tropical
Diseases, 22nd ed. London: Saunders,2009
Suggested Extra Reading
- WHO guidelines on prevention and control of
infectious diseases ( WHO website)
- CDC guidelines for prevention and control of
infectious diseases (CDC website)
Journals and Periodicals, others
- Am J Trop Med hyg.
- Trans R Soc Trop Med Hyg.
- Clin Infect Dis.
- Trop Doct
Course Instructor
Name: Prof. Dr. Alaa Abdo Signature:
Program Coordinator
Name: Prof. Dr. Mohammad Samy Gad Signature:
Program Director (Head of Department)
Name: Prof. Dr Yehia Ghanem, Signature: